Mountain Medical Supply, Llc
Durable Medical Equipment & Medical Supplies
6170 Woodside Executive Ct, Aiken
South Carolina, 29803-3820
435-327-0227 877-492-2716
Mountain Medical Supply, Llc is a Durable Medical Equipment & Medical Supplies in Aiken, South Carolina. It is located at 6170 Woodside Executive Ct, Aiken and it's customer support contact number is 435-327-0227. The authorized person of Mountain Medical Supply, Llc is Wayne Reaves who is Chief Financial Officer of this DME and his contact number is 435-327-0227. Active license number of Mountain Medical Supply, Llc is 14834 for Durable Medical Equipment & Medical Supplies in South Carolina. Mountain Medical Supply, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Mountain Medical Supply, Llc is 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.
DME Supplier Details:
Mountain Medical Supply, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Mountain Medical Supply, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 6170 Woodside Executive Ct, Aiken,
South Carolina, 29803-3820 |
| Phone: | 435-327-0227 |
| Fax: | 877-492-2716 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Wayne Reaves |
| Position: | Chief Financial Officer |
| Contact Number: | 435-327-0227 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1306362769 |
| NPI Enumeration Date: | 17 Aug, 2017 |
| NPI Last Update On: | 08 Sep, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mountain Medical Supply, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 14834 | South Carolina | Primary | |
| Durable Medical Equipment & Medical Supplies | 170014 | Kentucky | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 617577000 | Other | | U.s. Dept Of Labor Office Of Workers' Compensation Programs |
| 622826800 | Other | | U.s. Dept Of Labor Office Of Workers' Compensation Programs |
Medicare Enrollment:
Mountain Medical Supply, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9537520739 | O20230804000098 | Mountain Medical Supply, Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 723 N 1890 W Ste 38a,
Provo, Utah |
| Zip: | 84601-1333 |
| Phone Number: | 435-327-0227 |
| Fax Number: | 877-492-2716 |
Patients can reach Mountain Medical Supply, Llc at
6170 Woodside Executive Ct, Aiken, South Carolina or can
call on customer care at 435-327-0227.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.