Provider Demographics
NPI:1871538249
Name:BARNWELL HOME MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:BARNWELL HOME MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:O
Authorized Official - Last Name:GAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-541-4261
Mailing Address - Street 1:20 WALL ST
Mailing Address - Street 2:
Mailing Address - City:BARNWELL
Mailing Address - State:SC
Mailing Address - Zip Code:29812-2520
Mailing Address - Country:US
Mailing Address - Phone:803-541-4261
Mailing Address - Fax:803-541-4262
Practice Address - Street 1:20 WALL ST
Practice Address - Street 2:
Practice Address - City:BARNWELL
Practice Address - State:SC
Practice Address - Zip Code:29812-2520
Practice Address - Country:US
Practice Address - Phone:803-541-4261
Practice Address - Fax:803-541-4262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC5738660001Medicare NSC