RUSSELL K BENEVAGE


Address: 842 S Post Oak Rd, Sulphur, LA 70663-5244
Phone: 3375330001

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
LA 1195910 05

Other Provider/Organization Names

Other Name Type Code
Allied Medical Equipment Repair & Services Doing Business As Name - Organization

Office Location

Street Address 842 S POST OAK RD
City SULPHUR
State LA
Zip Code 70663-5244

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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
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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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
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Competitor

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City SULPHUR
Zip Code 70663

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Dataset Information

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.

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