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 established in Myrtle Beach, South Carolina specializing in durable medical equipment & medical supplies. The NPI number of Liberty Medical Specialties, Inc. is 1003009069 and was assigned on August 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mrs. Tamara Lynn Jones (Billing Manager)
Liberty Medical Specialties, Inc. is a medicare supplier with PTAN 0586150010 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Continuous Passive Motion (CPM) Devices or Blood Glucose Monitors/Supplies (Non-Mail Order) or Blood Glucose Monitors/Supplies (Mail Order) or Gastric Suction Pumps or Hospital Beds (Electric) or Hospital Beds (Manual) or External Infusion Pumps and/or Supplies or Insulin Infusion Pumps and/or Supplies or Negative Pressure Wound Therapy Pumps/Supplies or Pneumatic Compression Devices and/or Supplies or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Canes and/or Crutches or Patient Lifts or Power Operated Vehicles (Scooters) or Seat Lift Mechanisms or Walkers or Wheelchairs (Standard Manual) or Wheelchairs (Standard Manual Related Accessories) or Wheelchairs (Standard Power) or Wheelchairs (Standard Power Related Accessories) or Wheelchair Seating/Cushions or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Parenteral Equipment and/or Supplies or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Assist Devices or Respiratory Suction Pumps or Surgical Dressings.
| NPI | 1003009069 |
| Provider Name | LIBERTY MEDICAL SPECIALTIES, INC. |
| Provider Location Address | 1768 HIGHWAY 501 MYRTLE BEACH, SC 29577 |
| Provider Mailing Address | PO BOX 339 WHITEVILLE, NC 28472 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | Yes |
| Enumeration Date | 08-23-2007 |
| Last Update Date | 06-28-2011 |
Primary Taxonomy
| Taxonomy Code | 332B00000X |
| Classification | Durable Medical Equipment & Medical Supplies |
| Type | Suppliers |
| Taxonomy Description | 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. |
Business Address
LIBERTY MEDICAL SPECIALTIES, INC.
1768 HIGHWAY 501
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 448-8315
Mailing Address
LIBERTY MEDICAL SPECIALTIES, INC.
PO BOX 339
WHITEVILLE, NC
ZIP 28472
Phone: (910) 642-2250
Fax: (910) 642-0109
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
| PTAN | 0586150010 |
| Accepts Medicare Assignment | NO |
| Specialities List | Medical Supply Company Other, MSC With Respiratory Therapist. |
| Provider Type List | OXYGEN & EQUIPMENT. |
| Supplies List |
|
| Competitive Bidding | NO |
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 |
|---|---|---|
| DE3292 | MEDICAID (05) | SC |
| 0586150010 | MEDICARE NSC (07) | NC |
| 7701229 | MEDICAID (05) | NC |
| 0476T | OTHER (01) | NC |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary 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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.