LIBERTY MEDICAL SPECIALTIES, INC (NPI# 1740347285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740347285 |
| Entity Type | Organization |
| Organization Name | LIBERTY MEDICAL SPECIALTIES, INC |
| Practice Address |
1804 Owen Dr Fayetteville NC 28304-3421 |
| Mailing Address |
Po Box 339 Whiteville NC 28472-0339 |
| Practice Telephone | 9108643810 |
| Mailing Telephone | 9106422250 |
| Mailing Fax Number | 9106420109 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-01-12 |
| Authorized Official Name | MRS. TAMARA LYNN JONES (BILLING MANAGER) |
| Authorized Official Telephone | 9106422250 |
| 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 |
|---|---|---|---|
| NC | BCBS | 0476T | 01 |
| NC | 7704894 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518171800 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 2224 South 17th Street, Wilmington, NC 28401 | 2007-05-09 |
| 1538373824 | Liberty Medical Specialties, Inc | Pharmacy | 612-10 E Jefferson Street, Whiteville, NC 28472 | 2007-05-09 |
| 1952468472 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 4221 Garrett Rd, Unit # 10, Durham, NC 27707-3467 | 2007-01-03 |
| 1891852323 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1120 Ocean Hwy West, Supply, NC 28462 | 2007-01-03 |
| 1710043989 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 813 E Roosevelt Blvd Ste H, Monroe, NC 28112-5169 | 2006-12-29 |
| 1104921998 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 612-10 E Jefferson St, Whiteville, NC 28472 | 2006-09-14 |
| 1760587927 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 113 W Fire Tower Rd, Suite Q, Winterville, NC 28590-8377 | 2006-09-13 |
| 1790841955 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1007 Lexington Ave, Thomasville, NC 27360-3540 | 2006-12-29 |
| 1780740969 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 202 Penny Ln, Unit D, Morehead City, NC 28557-4305 | 2006-12-29 |
| Street Address |
1804 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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. |
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| 1073149373 | Delta Medical Group Inc | Durable Medical Equipment & Medical Supplies | 375 E Millsap Rd Ste 1, Fayetteville, AR 72703-6289 | 2020-03-18 |
| 1154961472 | Zion Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 315, Fayetteville, GA 30214-7727 | 2020-01-14 |
| 1497314249 | Dme By Preventive Health Care Usa LLC | Durable Medical Equipment & Medical Supplies | 1572 Highway 85 N Ste 211, Fayetteville, GA 30214-7726 | 2019-06-06 |
| 1235696543 | Medic Rental Inc | Durable Medical Equipment & Medical Supplies | 3533 N Shiloh Dr Ste 4, Fayetteville, AR 72703-5317 | 2019-02-22 |
| 1720558893 | Broadband Innovation Group | Durable Medical Equipment & Medical Supplies | 2915 Raeford Rd Ste 203, Fayetteville, NC 28303-5491 | 2018-11-30 |
| 1508340464 | American Access and Management Services, LLC | Durable Medical Equipment & Medical Supplies | 1107 Four Wood Dr, Fayetteville, NC 28312-7227 | 2018-09-17 |
| 1629568506 | Kimberly Mcgaughey | Durable Medical Equipment & Medical Supplies | 1430 N Bernice Dr, Fayetteville, AR 72703-6084 | 2018-05-16 |
| 1033614771 | Mercy Home Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 3801 Sycamore Dairy Rd Ste E, Fayetteville, NC 28303-3420 | 2018-03-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on LIBERTY MEDICAL SPECIALTIES, INC.
| 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.