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Contact Information

LIVEWELL MEDICAL INC
8421 OLD STATESVILLE RD
SUITE 18
CHARLOTTE, NC28269-1808
 Phone: 704-494-8849
 Fax: 704-494-8850
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for LIVEWELL MEDICAL INC

NPI Number 1962507814
LBN Legal business name LIVEWELL MEDICAL INC
Authorized official SCOTT STALEY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/14/2006
Last updated 05/09/2012 - About 14 years ago
Identifiers
NC Medicaid 7705319
SC Medicaid DE2703
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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