PINE RIDGE MEDICAL SUPPLY (NPI# 1225331788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225331788 |
| Entity Type | Organization |
| Organization Name | PINE RIDGE MEDICAL SUPPLY |
| Practice Address |
146 N 3rd St Williamsburg OH 45176-1322 |
| Mailing Address |
146 N 3rd St P.o. Box 408 Williamsburg OH 45176-1322 |
| Practice Telephone | 5137243460 |
| Practice Fax Number | 5137243462 |
| Mailing Telephone | 5137243460 |
| Mailing Fax Number | 5137243462 |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2010-12-06 |
| Authorized Official Name | MRS. VERNA L. GOECKE (PRESSIDENT/ADMINISTRATOR) |
| Authorized Official Telephone | 5137243460 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINE RIDGE-PINE VILLAGE RES. HOMES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
146 N 3RD ST |
| City | WILLIAMSBURG |
| State | OH |
| Zip Code | 45176-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063809564 | Village Home Health Care Services LLC | Home Health | 146 N 3rd St, Williamsburg, OH 45176-1322 | 2015-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508384140 | Danielle Nicole Alsip | Licensed Practical Nurse | 5874 Marathon-edenton Rd, Williamsburg, OH 45176 | 2017-09-04 |
| 1629131321 | Margaret Louise Mcafee | Home Health Aide | 3480 Twin Bridges Road, Williamsburg, OH 45176 | 2006-12-18 |
| 1427141019 | Fitzgerald & Huling Pharmacy Inc | Pharmacy | 305 West Main, Williamsburg, OH 45176 | 2006-10-02 |
| 1295100444 | Rebecca Wilker | Doula | 307 S Broadway St, Williamsburg, OH 45176-1014 | 2015-12-13 |
| 1194226910 | Sahara Dawn Dorsey | Registered Nurse | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2018-02-27 |
| 1841812393 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1003438557 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1750521324 | Williamsburg Local School District | Local Education Agency (LEA) | 549 W Main St Ste A, Williamsburg, OH 45176-1120 | 2009-02-23 |
| 1164643458 | Aimee Jean Cooper | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2007-05-02 |
| 1639698145 | Trisha Elizabeth Hering | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2017-09-15 |
| Find all providers in zip 45176 | ||||
| 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 |
|---|---|---|---|---|
| 1295226801 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1651 Merrimac Trl Ste 159, Williamsburg, VA 23185-5624 | 2018-05-21 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1245679232 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4670 Casey Blvd, Williamsburg, VA 23188-2879 | 2013-06-23 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1265693519 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 200 Marquis Pkwy, Williamsburg, VA 23185-5371 | 2008-06-19 |
| 1316113764 | Dr Jean M Clay, PC | Durable Medical Equipment & Medical Supplies | 302 Bulifants Blvd Ste 101, Williamsburg, VA 23188-5738 | 2008-05-06 |
| 1407974009 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 2000 Easter Cir, Williamsburg, VA 23188-1416 | 2007-03-26 |
| 1003931635 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1309 Richmond Rd, Williamsburg, VA 23185-2832 | 2007-03-20 |
| 1427113661 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 4501 News Road, Williamsburg, VA 23188 | 2006-12-27 |
| 1548335797 | Sentara Enterprises | Durable Medical Equipment & Medical Supplies | 6623 Richmond Rd, Suite J, Williamsburg, VA 23188-7589 | 2006-11-22 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 45176 |
Please comment or provide details below to improve the information on PINE RIDGE MEDICAL SUPPLY.
| 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.