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Contact Information

MEDEMPORIUM, LLC
1300 CROSSBEAM DR
CHARLOTTE, NC28217-2800
 Phone: 704-535-2201
 Fax: 704-535-3836
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MEDEMPORIUM, LLC

NPI Number 1538143375
LBN Legal business name MEDEMPORIUM, LLC
Authorized official MARYANN LARGEN - (CHIEF OPERATING OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2005
Last updated 11/12/2020 - About 6 years ago
Identifiers
NC License # 00358
NC License # 7135
NC Medicaid 7702784
NC Other 04155 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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