Provider Demographics
NPI:1194066704
Name:LOW COUNTRY HOME MEDICAL EQUIPMENT COMPANY, INC.
Entity type:Organization
Organization Name:LOW COUNTRY HOME MEDICAL EQUIPMENT COMPANY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:BATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-209-7185
Mailing Address - Street 1:1104 N JEFFERIES BLVD
Mailing Address - Street 2:
Mailing Address - City:WALTERBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29488-2730
Mailing Address - Country:US
Mailing Address - Phone:843-782-4307
Mailing Address - Fax:843-782-4309
Practice Address - Street 1:1104 N JEFFERIES BLVD
Practice Address - Street 2:
Practice Address - City:WALTERBORO
Practice Address - State:SC
Practice Address - Zip Code:29488-2730
Practice Address - Country:US
Practice Address - Phone:843-782-4307
Practice Address - Fax:843-782-4309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
SC332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies