DIAMOND PT DIABETIC SUPPL (NPI# 1003901406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003901406 |
| Entity Type | Organization |
| Organization Name | DIAMOND PT DIABETIC SUPPL |
| Practice Address |
149 Walker Road Campobello SC 29322-9053 |
| Practice Telephone | 8644725517 |
| Practice Fax Number | 8642780650 |
| Mailing Telephone | 8644725517 |
| Mailing Fax Number | 8642780650 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | MR. PAUL MOORE III (PRESIDENT) |
| Authorized Official Telephone | 8644725517 |
| Authorized Official Credential | C. PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE2529 | 05 |
| Street Address |
149 WALKER ROAD |
| City | CAMPOBELLO |
| State | SC |
| Zip Code | 29322-9053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275923617 | Caroline Skellie | Dental Hygienist | 145 Cynthia Lane, Campobello, SC 29322 | 2015-01-23 |
| 1093870651 | Spartanburg County District One Schools | Local Education Agency (LEA) | 121 Wheeler St, Campobello, SC 29322 | 2006-12-26 |
| 1780764605 | Michael Von Baker | Specialist/Technologist | 18818 Asheville Hwy, Campobello, SC 29322 | 2006-10-16 |
| 1134288715 | Spartanburg School District One | Local Education Agency (LEA) | 121 Wheeler Street, Campobello, SC 29322-0218 | 2006-12-08 |
| 1386668879 | Stephen J Gordin | Radiology | 225 Stable Gate Dr, Campobello, SC 29322-8037 | 2006-07-27 |
| 1205844586 | Southeast Regional Virtual Imaging Consulting Enterprise Pa | Radiology | 225 Stable Gate Dr, Campobello, SC 29322-8037 | 2006-08-03 |
| 1073996807 | Richard Jones | Counselor | 120 Fowler Rd, Campobello, SC 29322-9115 | 2015-06-29 |
| 1922057785 | Ronald Othel Thompson | Counselor | 124 Cheyenne Ridge Trl, Campobello, SC 29322-9198 | 2006-05-09 |
| 1336315332 | Mary Arlene Marin | Massage Therapist | 145 Scenic Ave, Campobello, SC 29322-9447 | 2008-04-30 |
| 1366004095 | Timothy Nathan Scoggins | Specialist/Technologist | 190 Rubin Thorne Rd, Campobello, SC 29322-9654 | 2019-07-02 |
| Find all providers in zip 29322 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174007 | Premier Transit Solutions, LLP | Durable Medical Equipment & Medical Supplies | 2025 Ebenezer Rd Ste J5, Rock Hill, SC 29732-1079 | 2020-11-03 |
| 1053912444 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 2501 May River Crossing, Bluffton, SC 29910 | 2020-11-03 |
| 1457950875 | 360 Durable Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1314 N Main St Ste D, Fountain Inn, SC 29644-1332 | 2020-10-19 |
| 1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
| 1700483971 | Rsfh - Ati Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 8950 University Blvd Ste 200a, North Charleston, SC 29406-9115 | 2020-10-01 |
| 1356955983 | Greenville Health Corporation | Durable Medical Equipment & Medical Supplies | 1400 Pickens St Fl 3, Columbia, SC 29201-3465 | 2020-09-01 |
| 1437769494 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 1400 W Georgia Rd, Simpsonville, SC 29680-6305 | 2020-08-05 |
| 1154947208 | Southern Way Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 145 Thomas Green Blvd Ste 100, Clemson, SC 29631-2172 | 2020-06-24 |
| 1841812252 | Yolanda Yvonne Ervin | Durable Medical Equipment & Medical Supplies | 1030 Oakland Ave Ste 104, Rock Hill, SC 29732-3074 | 2020-05-08 |
| 1750901674 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 100 Wade Hampton Blvd, Greenville, SC 29609-5735 | 2020-04-21 |
| Find all providers with the same taxonomy | ||||
| City | CAMPOBELLO |
| Zip Code | 29322 |
Please comment or provide details below to improve the information on DIAMOND PT DIABETIC SUPPL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.