GAMMA HEALTHCARE, INC (NPI# 1023420072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023420072 |
| Entity Type | Organization |
| Organization Name | GAMMA HEALTHCARE, INC |
| Practice Address |
1717 W Maud St Poplar Bluff MO 63901-4003 |
| Practice Telephone | 5737275600 |
| Practice Fax Number | 5737850753 |
| Mailing Telephone | 5737275600 |
| Mailing Fax Number | 5737850753 |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | MR. JERRY W MURPHY (CHAIRMAN & CEO) |
| Authorized Official Telephone | 5737275600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689038440 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 309 N Church Ave, Ste 5, Dyersburg, TN 38024-3013 | 2016-04-07 |
| 1497117899 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3346 Goodman Rd E, Southaven, MS 38672-6433 | 2016-03-24 |
| 1043604739 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4507 N Sterling Ave Ste 200, Peoria, IL 61615-3861 | 2015-03-20 |
| 1114315793 | Gamma Healthcare, Inc | Clinical Medical Laboratory | 2211 Roy Rd, Tyler, TX 75707-6275 | 2015-01-05 |
| 1982948428 | Gamma Healthcare, Inc | Clinical Medical Laboratory | 820 S Three Notch St, Suite B, Andalusia, AL 36420-5359 | 2012-11-21 |
| 1598264186 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4020 Richards Rd, North Little Rock, AR 72117-2650 | 2018-02-08 |
| 1992166599 | Gamma Healthcare, Inc | Clinical Medical Laboratory | 2938 Telegraph Rd, Saint Louis, MO 63125-4061 | 2016-03-10 |
| Street Address |
1717 W MAUD ST |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901-4003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083690077 | Robert Joseph Cacchione | Pathology | 1717 W Maud St, Poplar Bluff, MO 63901-4003 | 2005-12-21 |
| 1154406619 | Gamma Healthcare Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1717 W Maud St, Poplar Bluff, MO 63901-4003 | 2006-10-25 |
| 1740361690 | Gamma Healthcare Inc | Clinical Medical Laboratory | 1717 W Maud St, Poplar Bluff, MO 63901-4003 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154406619 | Gamma Healthcare Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1717 W Maud St, Poplar Bluff, MO 63901-4003 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952946378 | Mjm Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1301 Oak St Ste 713, Kansas City, MO 64106-2913 | 2019-11-08 |
| 1861986176 | Biomedical Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3450 Bridgeland Dr Ste F, Bridgeton, MO 63044-2605 | 2018-06-20 |
| 1508225715 | Missouri Diagnostic Services, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1517 Copper Rd, Holts Summit, MO 65043-2033 | 2016-02-16 |
| 1891125142 | Midwest Mobile Imaging | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 408 Washington Ave Ste 107, West Plains, MO 65775-3404 | 2013-11-23 |
| 1265786305 | Prowave Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 238 Peach Ln, Ridgedale, MO 65739-4182 | 2012-10-27 |
| 1720239767 | American Mobile X-ray, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 221 Adair Road, Branson, MO 65615-7865 | 2008-10-08 |
| 1528214913 | Innovative Mobile Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 202 Miller Way, Monett, MO 65708-8336 | 2008-08-18 |
| 1790959773 | Digital X Mobile, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 13 Cedar Crest Dr, Fenton, MO 63026-5041 | 2008-04-21 |
| 1376749812 | Mobile X-ray Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3050 N 20th St, Ozark, MO 65721-5925 | 2007-06-22 |
| 1720106958 | Gateway Sonographics, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1115 James Dr, Imperial, MO 63052-2343 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on GAMMA HEALTHCARE, 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.