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MOUNTAIN MEDICAL SUPPLY, LLC
NPI 1306362769
Durable Medical Equipment & Medical Supplies in Aiken, SC

Active since August 17, 2017
6170 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803(435) 327-0227(877) 492-2716 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2022, May 27, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Mountain Medical Supply, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN MEDICAL SUPPLY, LLC (NPI 1306362769) is a healthcare organization registered as a durable medical equipment & medical supplies in Aiken, South Carolina and active in the NPI registry since August 2017. The organization maintains a secondary practice location in Paducah and lists Wayne Reaves, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1306362769
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMOUNTAIN MEDICAL SUPPLY, LLC
Location Address6170 WOODSIDE EXECUTIVE CTAiken, SC 29803-3820
Mailing Address723 N 1890 W Ste 38aProvo, UT 84601-1333 · (435) 327-0227 · Fax (877) 492-2716
Phone(435) 327-0227
Fax(877) 492-2716
Organization SubpartNo
Authorized OfficialWayne ReavesChief Financial Officer · (435) 327-0227
Enumeration DateAugust 17, 2017
Last NPPES UpdateSeptember 8, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1306362769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Licenses✔ Licensed in SC · 14834✔ Licensed in KY · 170014
Definition
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.
6170 WOODSIDE EXECUTIVE CT, Aiken, SC 29803
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Secondary Practice Location 1

Location 1711 Jefferson StPaducah, KY 42001-6817 · Phone (435) 327-0227 · Fax (877) 492-2716

Other Identifiers 2

Other617577000U.s. Dept Of Labor Office Of Workers' Compensation Programs
Other622826800U.s. Dept Of Labor Office Of Workers' Compensation Programs

Medical Equipment Supplier Medicare DMEPOS 29

Medicare supplier enrollment and the product categories Mountain Medical Supply, LLC carries, from the Medicare DMEPOS supplier directory.

Mountain Medical Supply, LLC

DMEPOS supplier · Aiken, SC
✔

Accepts Medicare assignment

Mountain Medical Supply, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20346185
Medicare Participant SinceDecember 6, 2022
Supplier Location6170 Woodside Executive CtAiken, SC 29803
Phone(803) 641-7417
Provider TypeOxygen & Equipment
Supplier Specialties
Medical Supply Company Other MSC With Respiratory Therapist

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Heat & Cold Applications
Heat therapy, Cold therapy, Heating pads
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Support Surfaces: Pressure Reducing Beds/Mats/Pads
Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Medical Supply, LLC's NPI number?

The NPI number for Mountain Medical Supply, LLC is 1306362769. It was assigned to this organization in the NPPES registry on August 17, 2017.

Where is Mountain Medical Supply, LLC located?

Mountain Medical Supply, LLC is located at 6170 Woodside Executive Ct, Aiken, SC 29803. The listed phone number is (435) 327-0227.

What is Mountain Medical Supply, LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Mountain Medical Supply, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Mountain Medical Supply, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Mountain Medical Supply, LLC was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.