Provider Demographics
NPI:1548364748
Name:DISABILITY HEALTH SUPPLIES INC
Entity type:Organization
Organization Name:DISABILITY HEALTH SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:BYRD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-647-3559
Mailing Address - Street 1:3110 FIGSBORO ROAD
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24112-8277
Mailing Address - Country:US
Mailing Address - Phone:276-647-3559
Mailing Address - Fax:276-647-3559
Practice Address - Street 1:3590 VIRGINIA AVENUE
Practice Address - Street 2:
Practice Address - City:COLLINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24078-1783
Practice Address - Country:US
Practice Address - Phone:276-647-3559
Practice Address - Fax:276-647-3559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009105972Medicaid
VA1312190001Medicare ID - Type Unspecified
NC1312190001Medicare ID - Type Unspecified