Provider Demographics
NPI:1538222757
Name:MED-CARE MEDICAL EQUIPMENT AND SUPPLIES
Entity type:Organization
Organization Name:MED-CARE MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:SR
Authorized Official - Credentials:JURIS DOCTORATE
Authorized Official - Phone:252-332-6848
Mailing Address - Street 1:730 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-5345
Mailing Address - Country:US
Mailing Address - Phone:252-332-6848
Mailing Address - Fax:
Practice Address - Street 1:730 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306-5345
Practice Address - Country:US
Practice Address - Phone:252-332-6848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPENDING332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies