MID STATE MEDICAL OF PA LLC (NPI# 1154810174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154810174 |
| Entity Type | Organization |
| Organization Name | MID STATE MEDICAL OF PA LLC |
| Practice Address |
2992 E Prospect Rd York PA 17402-9628 |
| Practice Telephone | 7178818900 |
| Practice Fax Number | 8882550868 |
| Mailing Telephone | 7178818900 |
| Mailing Fax Number | 8882550868 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | ROBERT W DEROWSKI (OWNER) |
| Authorized Official Telephone | 7178818900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
2992 E PROSPECT RD |
| City | YORK |
| State | PA |
| Zip Code | 17402-9628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
| 1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
| 1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
| 1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
| 1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
| 1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
| 1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
| 1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
| 1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
| 1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
| Find all providers in zip 17402 | ||||
| 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 |
|---|---|---|---|---|
| 1376186999 | Mama & Roos Supplement Co | Durable Medical Equipment & Medical Supplies | 2555 S Queen St, York, PA 17402-4966 | 2019-10-27 |
| 1649646001 | York Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 316 Us Route 1 Ste B, York, ME 03909-1674 | 2015-08-19 |
| 1376885921 | Nebraska Medical Mart II Inc | Durable Medical Equipment & Medical Supplies | 115 E 6th St, York, NE 68467-2917 | 2013-03-21 |
| 1881942472 | Tricounty Medical Equipment and Supply LLC | Durable Medical Equipment & Medical Supplies | 20 N Harrison St, York, PA 17403-1224 | 2012-08-29 |
| 1598934887 | Home Infusion Solutions LLC | Durable Medical Equipment & Medical Supplies | 3415c Concord Rd, York, PA 17402-9001 | 2008-02-21 |
| 1063695823 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 997 E Liberty St, York, SC 29745-2689 | 2007-12-14 |
| 1548440308 | Tamarkin Eye Associates | Durable Medical Equipment & Medical Supplies | 1610 S Queen St, York, PA 17403-4624 | 2007-11-09 |
| 1346431285 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 533 S Lincoln Ave, York, NE 68467-4211 | 2007-08-06 |
| 1518166412 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 115 Leaders Heights Road, York, PA 17403-5138 | 2007-07-12 |
| 1770781601 | Ph and F Inc | Durable Medical Equipment & Medical Supplies | 1120 Devinney Road, York, SC 29745-2110 | 2007-07-03 |
| Find all providers in YORK | ||||
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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.