LIBERTY MEDICAL SPECIALTIES, INC. NPI 1003009069

Durable Medical Equipment & Medical Supplies in Myrtle Beach, SC

About LIBERTY MEDICAL SPECIALTIES, INC.

Liberty Medical Specialties, Inc. is a provider in Myrtle Beach, SC. The NPI number assigned to this provider is 1003009069. The practitioner's primary taxonomy code is Durable Medical Equipment & Medical Supplies (332B00000X). The provider is registered as an organization and their NPI record was last updated 6 years ago.

NPI1003009069 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameLIBERTY MEDICAL SPECIALTIES, INC.
Provider Location Address1768 HIGHWAY 501 MYRTLE BEACH, SC 29577 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 339 WHITEVILLE, NC 28472 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?Yes Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-23-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-28-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

LIBERTY MEDICAL SPECIALTIES, INC.
1768 HIGHWAY 501
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 448-8315
Get Directions

Mailing Address

LIBERTY MEDICAL SPECIALTIES, INC.
PO BOX 339
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-2250
Fax: (910) 642-0109

Primary Taxonomy

Taxonomy Code332B00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationDurable Medical Equipment & Medical Supplies
TypeSuppliers
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official NameMRS. TAMARA LYNN JONES Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleBILLING MANAGER
Authorized Official Phone(910) 642-2250

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
DE3292MEDICAID (05)SC
0586150010MEDICARE NSC (07)NC
7701229MEDICAID (05)NC
0476TOTHER (01)NC

Map Location


LIBERTY MEDICAL SPECIALTIES, INC. address is 1768 HIGHWAY 501 MYRTLE BEACH, SC 29577