MOUNTAIN MEDICAL SUPPLY INC (NPI# 1114914678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114914678 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN MEDICAL SUPPLY INC |
| Practice Address |
521 Main St Haysi VA 24256 |
| Mailing Address |
Po Box 279 Haysi VA 24256 |
| Practice Telephone | 2768654096 |
| Practice Fax Number | 2768654098 |
| Mailing Telephone | 2768654096 |
| Mailing Fax Number | 2768654098 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. RHONDA LYNN SCANLON (MANAGER) |
| Authorized Official Telephone | 2768654096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0206009028 | VA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275547044 | Mountain Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1399 Weimer Rd, Ste 700a, Taos, NM 87571-6355 | 2006-07-28 |
| Street Address |
521 MAIN ST |
| City | HAYSI |
| State | VA |
| Zip Code | 24256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840537 | Viers Medical Clinic Pllc | Nurse Practitioner | 246 Haysi Main St., Haysi, VA 24256 | 2019-06-14 |
| 1073901781 | Mellisa Nichole Owens | Occupational Therapy Assistant | 676 Laurel Branch, Haysi, VA 24256 | 2015-01-05 |
| 1154679207 | Robert Keith Bailey | Pharmacist | 23906 Dickenson Hwy, Haysi, VA 24256 | 2012-08-21 |
| 1053694547 | Family Preservation Services, Inc | Community/Behavioral Health | 196 Tiger Circle, Haysi, VA 24256 | 2011-09-21 |
| 1952423667 | St Charles Health Council Inc | Clinic/Center | 102 Oquinn Drive, Haysi, VA 24256 | 2007-04-04 |
| 1326460650 | Alysia Ann Hoover-thompson | Psychologist | 162 Medical Center Boulevard, Haysi, VA 24256 | 2014-01-06 |
| 1679909535 | Bridge Building Youth and Family | Counselor | 200 Main Street, Haysi, VA 24256 | 2013-09-23 |
| 1235422700 | Family Preservation Services, Inc | Community/Behavioral Health | 320 Main Street, Haysi, VA 24256 | 2011-05-17 |
| 1184714230 | Russell Fork Pharmacies, Inc. | Pharmacy | 251 Main Street, Haysi, VA 24256 | 2006-10-12 |
| 1083790976 | Jobath Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 23906 Dickenson Highway, Haysi, VA 24256-0515 | 2006-10-31 |
| Find all providers in zip 24256 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083790976 | Jobath Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 23906 Dickenson Highway, Haysi, VA 24256-0515 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118313 | Capstone Hme Inc | Durable Medical Equipment & Medical Supplies | 3791 Peters Creek Road Ext Sw, Roanoke, VA 24018-1539 | 2020-09-12 |
| 1598378853 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 209 W Criser Rd Ste 100, Front Royal, VA 22630-2360 | 2020-08-26 |
| 1982214722 | Norman H Williams | Durable Medical Equipment & Medical Supplies | 966 Hunley Dr, Virginia Beach, VA 23462-5274 | 2020-08-06 |
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1932718459 | Centers for Advanced Orthopaedics LLC | Durable Medical Equipment & Medical Supplies | 3700 Joseph Siewick Dr Ste 206, Fairfax, VA 22033-1738 | 2020-07-30 |
| 1609494178 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 740 N Glebe Rd, Arlington, VA 22203-2257 | 2020-07-10 |
| 1467077560 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 750 N Glebe Rd, Arlington, VA 22203-4441 | 2020-06-15 |
| 1609491976 | Nspyred Wellness Center | Durable Medical Equipment & Medical Supplies | 9505 Warwick Blvd, Newport News, VA 23601-4538 | 2020-06-12 |
| 1801419650 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 N Main St Ste 100rx, Blacksburg, VA 24060-3129 | 2020-05-27 |
| 1922621960 | Virginia Cvs Pharmacy L L C | Durable Medical Equipment & Medical Supplies | 4060 Campbell Ave, Arlington, VA 22206-3424 | 2020-05-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MOUNTAIN MEDICAL SUPPLY 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.