Provider Demographics
NPI:1134426448
Name:CAROLINA MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:CAROLINA MEDICAL SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-348-0206
Mailing Address - Street 1:1257 LAKE PLAZA DR STE 130
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-7304
Mailing Address - Country:US
Mailing Address - Phone:877-348-0206
Mailing Address - Fax:877-339-9221
Practice Address - Street 1:1257 LAKE PLAZA DR STE 130
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-7304
Practice Address - Country:US
Practice Address - Phone:877-348-0206
Practice Address - Fax:877-339-9221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-23
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO77180763Medicaid