RUSSELL K BENEVAGE (NPI# 1134304561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134304561 |
Entity Type | Organization |
Organization Name | RUSSELL K BENEVAGE |
Other Organization Name | ALLIED MEDICAL EQUIPMENT REPAIR & SERVICES |
Practice Address |
842 S Post Oak Rd Sulphur LA 70663-5244 |
Mailing Address |
Po Box 1627 Sulphur LA 70664-1627 |
Practice Telephone | 3375330001 |
Practice Fax Number | 3375330007 |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-01-03 |
Authorized Official Name | MR. RUSSELL BENEVAGE (OWNER) |
Authorized Official Telephone | 3375330001 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1195910 | 05 |
Other Name | Type Code |
---|---|
Allied Medical Equipment Repair & Services | Doing Business As Name - Organization |
Street Address |
842 S POST OAK RD |
City | SULPHUR |
State | LA |
Zip Code | 70663-5244 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457822751 | Imperial Calcasieu Human Services Authority | Clinic/Center | 2651 E Napoleon St, Sulphur, LA 70663 | 2018-12-12 |
1083134670 | Leah Lowe | Nurse Practitioner | 1019 Mathew St., Sulphur, LA 70663 | 2017-06-23 |
1972037166 | Collins Orthopaedics LLC | Orthopaedic Surgery | 250 S Beglis Parkway, Ste 3, Sulphur, LA 70663 | 2017-04-14 |
1699219238 | Charles Miah Smith | Family Medicine | 231 W Houston River Rd., Sulphur, LA 70663 | 2016-12-16 |
1598213357 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 1000 Beglis Pkwy, Sulphur, LA 70663 | 2016-09-21 |
1992129019 | Healthscripts of America-southwest Louisiana,llc | Pharmacy | 1575 Maplewood Drive, Suite A, Sulphur, LA 70663 | 2014-02-10 |
1679900476 | Evergreen Presbyterian Ministries, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2108 Division Street, Sulphur, LA 70663 | 2013-10-11 |
1295065241 | Journey Behavioral Health, LLC | Psychologist | 423 Cypress St., Sulphur, LA 70663 | 2010-01-13 |
1558513754 | C H Wilkinson Physician Network | Nurse Practitioner | 525 North City Service Hwy, Sulphur, LA 70663 | 2008-10-21 |
1689853343 | Stelly Physical &occupational Therapy | Occupational Therapist | 946 Beglis Parkway, Sulphur, LA 70663 | 2007-10-30 |
Find all providers in zip 70663 |
Taxonomy Code | 332BC3200X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Customized Equipment |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669019832 | The Mane Collection, LLC | Durable Medical Equipment & Medical Supplies | 2666 Halsey Ave, New Orleans, LA 70114-6814 | 2019-12-05 |
1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
1376188557 | Independence Health Corp., LLC | Durable Medical Equipment & Medical Supplies | 120 Rue Beauregard Ste 206, Lafayette, LA 70508-3129 | 2019-11-12 |
1760988273 | Essential Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3605 Mcvea Street, Baker, LA 70714-3518 | 2018-04-03 |
1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
1467975623 | Safe and Sound Hearing LLC | Durable Medical Equipment & Medical Supplies | 1101 S College Rd Ste 40, Lafayette, LA 70503-3038 | 2017-07-19 |
1720523939 | Smile Dental Center | Durable Medical Equipment & Medical Supplies | 2015 E 70th St, Shreveport, LA 71105-5305 | 2016-12-23 |
1275075855 | A2z Home Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 333 Texas St Ste 1300, Shreveport, LA 71101-3666 | 2016-11-14 |
1669920260 | Wheely Life, LLC | Durable Medical Equipment & Medical Supplies | 230 Fairwood Dr, Broussard, LA 70518-4898 | 2016-09-13 |
1952757890 | Leo Savoie Cpo | Durable Medical Equipment & Medical Supplies | 113 Elizabeth Ave, River Ridge, LA 70123-1807 | 2016-05-10 |
Find all providers with the same taxonomy |
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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.