TWIN STATES VITAL CARE, INC. (NPI# 1467568337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467568337 |
| Entity Type | Organization |
| Organization Name | TWIN STATES VITAL CARE, INC. |
| Other Organization Name | MEDICINE MART VITAL CARE |
| Practice Address |
218b S Main St Tabor City NC 28463-1904 |
| Mailing Address |
Po Box 5047 Meridian MS 39302-5047 |
| Practice Telephone | 9106536169 |
| Practice Fax Number | 9106536078 |
| Mailing Telephone | 8004474095 |
| Mailing Fax Number | 6014827490 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STERLING GRADY KOONCE (MANAGER) |
| Authorized Official Telephone | 9106536169 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332B00000X | Durable Medical Equipment & Medical Supplies | 2627-IR | LA | Suppliers |
| X | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
2627-IR | LA | Suppliers |
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
2627-IR | LA | Suppliers |
| X | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
2627-IR | LA | Suppliers |
| X | 333600000X | Pharmacy | 2627-IR | LA | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2627-IR | LA | Suppliers |
| X | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
2627-IR | LA | Suppliers |
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
2627-IR | LA | Suppliers |
| X | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
2627-IR | LA | Suppliers |
| X | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
2627-IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE2065 | 05 | |
| NC | 7703531 | 05 | |
| SC | 7N7828 | 05 | |
| NC | 0245837 | 05 | |
| NC | 6800472 | 05 |
| Other Name | Type Code |
|---|---|
| Medicine Mart Vital Care | Doing Business As Name - Organization |
| Street Address |
218B S MAIN ST |
| City | TABOR CITY |
| State | NC |
| Zip Code | 28463-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347157 | Mh Medical Services, PC | Nurse Practitioner | 1107 East 5th St., Tabor City, NC 28463 | 2019-10-09 |
| 1962658237 | Generations Family Medicine | Family Medicine | 106 Tabor Crossing, Tabor City, NC 28463 | 2008-08-18 |
| 1942404637 | Coming Together Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5112 Chadbourn Hwy, Chadbourn, NC 28463 | 2007-06-14 |
| 1568509826 | Dameron Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 100 S Main St., Tabor City, NC 28463 | 2007-01-30 |
| 1871560631 | Dameron Drug Store Inc | Durable Medical Equipment & Medical Supplies | 100 S Main St, Tabor City, NC 28463 | 2006-03-01 |
| 1497972996 | Edward Mcclendon IIi | Dentist | 501 Hickman Rd., Tabor City, NC 28463-0536 | 2007-04-19 |
| 1609105592 | Premier Behavioral Services Inc | Community/Behavioral Health | 104 Industrial Park Road, Tabor City, NC 28463-1665 | 2009-12-23 |
| 1174639041 | Medicine Mart Ltc, LLC | Pharmacy | 214 S Main St, Tabor City, NC 28463-1904 | 2006-08-22 |
| 1912013889 | Tabor City Medicine Mart, Inc | Pharmacy | 220 S Main St, Tabor City, NC 28463-1904 | 2006-08-22 |
| 1053394775 | Twin State Home Healthcare Services Inc | Durable Medical Equipment & Medical Supplies | 218 S Main St, Tabor City, NC 28463-1904 | 2005-11-28 |
| Find all providers in zip 28463 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568509826 | Dameron Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 100 S Main St., Tabor City, NC 28463 | 2007-01-30 |
| 1376979229 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 808 E 5th St, Tabor City, NC 28463-2200 | 2013-09-24 |
| 1871560631 | Dameron Drug Store Inc | Durable Medical Equipment & Medical Supplies | 100 S Main St, Tabor City, NC 28463 | 2006-03-01 |
| 1053394775 | Twin State Home Healthcare Services Inc | Durable Medical Equipment & Medical Supplies | 218 S Main St, Tabor City, NC 28463-1904 | 2005-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225864 | Tommy Mcneill | Durable Medical Equipment & Medical Supplies | 3602 Laurel Creek Way, Durham, NC 27712-2982 | 2020-11-08 |
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1306445648 | Good Hope Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3601 Capital Blvd Ste 101, Raleigh, NC 27604-3397 | 2020-10-19 |
| 1548876006 | Classified Group Ltd | Durable Medical Equipment & Medical Supplies | 520 Lake Holding St, Wake Forest, NC 27587-6856 | 2020-09-21 |
| 1518573468 | Joemax Healthcare Services LLC | Durable Medical Equipment & Medical Supplies | 3535 S Wilmington St Ste 208, Raleigh, NC 27603-3512 | 2020-09-16 |
| 1023623303 | Vanity Allure X Ylh Beautique Salon Suites LLC | Durable Medical Equipment & Medical Supplies | 405 Blandwood Ave, Greensboro, NC 27401-2705 | 2020-09-13 |
| 1356954556 | Ramona Strong | Durable Medical Equipment & Medical Supplies | 104 Lynden Ln, New Bern, NC 28560-8552 | 2020-08-26 |
| 1104438506 | Murphy Medical Supply | Durable Medical Equipment & Medical Supplies | 12520 Capital Blvd Ste 401-114, Wake Forest, NC 27587-4659 | 2020-08-18 |
| 1538779590 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 24 Publix Drive, Clayton, NC 27527 | 2020-08-05 |
| 1861001133 | Emergeortho, P.a. | Durable Medical Equipment & Medical Supplies | 6019 Oleander Dr Ste 200, Wilmington, NC 28403-4813 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | TABOR CITY |
| Zip Code | 28463 |
Please comment or provide details below to improve the information on TWIN STATES VITAL CARE, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.