PERSONAL MEDICAL SUPPLY, INC. (NPI# 1225023898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225023898 |
| Entity Type | Organization |
| Organization Name | PERSONAL MEDICAL SUPPLY, INC. |
| Practice Address |
373 W 1st Dr Decatur IL 62521-5207 |
| Practice Telephone | 2174221271 |
| Practice Fax Number | 2174227066 |
| Mailing Telephone | 2174221271 |
| Mailing Fax Number | 2174227066 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | SHARON A MC CHANCY (OWNER) |
| Authorized Official Telephone | 2174221271 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203-000093 | IL | Suppliers |
| Street Address |
373 W 1ST DR |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| 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 |
|---|---|---|---|---|
| 1720547532 | Unique Visions LLC | Durable Medical Equipment & Medical Supplies | 2948 Laguna Dr, Decatur, GA 30032-3526 | 2019-03-19 |
| 1164915427 | Premium Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3011 Rainbow Dr Ste 303, Decatur, GA 30034-1681 | 2018-06-12 |
| 1396241535 | Gre Days Corp | Durable Medical Equipment & Medical Supplies | 3013 Rainbow Dr Ste 124, Decatur, GA 30034-1644 | 2018-04-05 |
| 1144733072 | Legacy Compounding Inc | Durable Medical Equipment & Medical Supplies | 2422 Danville Rd Sw Ste H, Decatur, AL 35603-4221 | 2017-11-14 |
| 1063924397 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 2934 Point Mallard Pkwy Se, Decatur, AL 35603-5700 | 2017-10-26 |
| 1689186199 | Georgia Pain and Wellness Center | Durable Medical Equipment & Medical Supplies | 484 Irvin Ct Ste 110, Decatur, GA 30030-5406 | 2017-10-25 |
| 1558887497 | Decatur Medical Supplies | Durable Medical Equipment & Medical Supplies | 2107 N Decatur Rd Unit 832, Decatur, GA 30033-5305 | 2017-08-22 |
| 1972027456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4855 Flat Shoals Pkwy, Decatur, GA 30034-5208 | 2017-07-27 |
| 1508304411 | Comfort Medical Supplies | Durable Medical Equipment & Medical Supplies | 5055 Miller Woods Dr, Decatur, GA 30035-3751 | 2017-02-10 |
| 1225493851 | Pain Rehab Equipment | Durable Medical Equipment & Medical Supplies | 220 Ponce De Leon Pl, 172, Decatur, GA 30030-3233 | 2015-12-26 |
| Find all providers in DECATUR | ||||
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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.