ADVANCED MODIFICATIONS, INC. (NPI# 1164881470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164881470 |
Entity Type | Organization |
Organization Name | ADVANCED MODIFICATIONS, INC. |
Practice Address |
1766 Hammond St Hermon ME 04401-1119 |
Practice Telephone | 2078488226 |
Practice Fax Number | 2078488227 |
Mailing Telephone | 2078488226 |
Mailing Fax Number | 2078488227 |
Enumeration Date | 2016-02-15 |
Last Update Date | 2016-02-15 |
Authorized Official Name | GINA K. BENNETT (PRESIDENT) |
Authorized Official Telephone | 2078488226 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ME | Suppliers |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ADVANCED MODIFICATIONS, INC. | 1766 Hammond Street, Hermon, ME 04401-1119 |
Street Address |
1766 HAMMOND ST |
City | HERMON |
State | ME |
Zip Code | 04401-1119 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
Find all providers in zip 04401 |
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 |
---|---|---|---|---|
1205334646 | Maine Accessibility Corporation | Durable Medical Equipment & Medical Supplies | 2 Printers Dr Ste 6, Hermon, ME 04401-1336 | 2018-01-31 |
1093894891 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 16 White Pine Rd, Ste C, Hermon, ME 04401-0258 | 2006-11-03 |
1578676581 | Americoast Maine, LLC | Durable Medical Equipment & Medical Supplies | 2225 Odlin Rd, Hermon, ME 04401-7237 | 2006-08-16 |
1295707842 | American Homepatient, Inc. | Durable Medical Equipment & Medical Supplies | 16 White Pine Rd., Suite D, Hermon, ME 04401 | 2006-02-06 |
1538536180 | Community Pharmacies LLC. | Durable Medical Equipment & Medical Supplies | 2402 Route 2 Unit 1, Hermon, ME 04401-0666 | 2015-08-31 |
1366566853 | Medical Depot | Durable Medical Equipment & Medical Supplies | 2225 Odlin Rd, Hermon, ME 04401-7237 | 2007-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316544919 | Micro Direct, Inc. | Durable Medical Equipment & Medical Supplies | 803 Webster St, Lewiston, ME 04240-1600 | 2020-10-06 |
1205460011 | Amber Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 10 Donald B Dean Dr Ste 3, South Portland, ME 04106-3372 | 2020-03-02 |
1508417247 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 165 Lancaster St Ste P, Portland, ME 04101-2406 | 2019-09-24 |
1871142513 | Belfast Drug Company Inc. | Durable Medical Equipment & Medical Supplies | 15 Starrett Dr Unit G, Belfast, ME 04915-6563 | 2019-09-05 |
1932756467 | Apothecary Rx Inc. | Durable Medical Equipment & Medical Supplies | 693 Sabattus St, Lewiston, ME 04240-3831 | 2019-08-20 |
1225680192 | Verus Healthcare LLC | Durable Medical Equipment & Medical Supplies | 47 Atlantic Pl Unit B47, South Portland, ME 04106-2316 | 2019-07-11 |
1841753050 | Regional Home Care Inc. | Durable Medical Equipment & Medical Supplies | 190 Riverside St Unit 2b, Portland, ME 04103-1073 | 2019-04-14 |
1912475609 | Coastal Med-tech Corp. | Durable Medical Equipment & Medical Supplies | 1113 Stillwater Ave, Bangor, ME 04401-2617 | 2018-11-12 |
1639647324 | Coastal Med-tech Corp. | Durable Medical Equipment & Medical Supplies | 826 Kennedy Memorial Dr, Oakland, ME 04963-4825 | 2018-11-12 |
1922587427 | Lincoln Lakes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 150 W Broadway Ste 2, Lincoln, ME 04457-4003 | 2018-08-07 |
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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.