PREMIER MEDICAL SUPPLY SERVICES, LLC (NPI# 1235261553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235261553 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL SUPPLY SERVICES, LLC |
| Practice Address |
2630 W. Manchester Blvd Suite C Inglewood CA 90305-2434 |
| Practice Telephone | 3237507885 |
| Practice Fax Number | 3237507890 |
| Mailing Telephone | 3237507885 |
| Mailing Fax Number | 3237507890 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-11-04 |
| Authorized Official Name | MRS. MARY K FADIPE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 3237507885 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 46433 | CA | Suppliers |
| Street Address |
2630 W. MANCHESTER BLVD SUITE C |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90305-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702683 | Mateasa D. Griffin | Technician | 3017 W. 82nd Street, Inglewood, CA 90305 | 2019-10-22 |
| 1699165951 | Nancy Lan Some | Nurse Practitioner | 8444 Crenshaw Blvd., Inglewood, CA 90305 | 2015-01-26 |
| 1427464320 | Ebony Sims | Dental Assistant | 3500 W Manchester Blvd, Unit #131, Inglewood, CA 90305 | 2014-07-11 |
| 1124229653 | Personal Mobility Services | Private Vehicle | 9705 S.4th Ave., Inglewood, CA 90305 | 2007-05-31 |
| 1982823399 | Earnestine Bernice White | Counselor | 3425 Manchester Blvd., Inglewood, CA 90305 | 2007-04-24 |
| 1972721272 | Larry J Strawn Jr. | Dentist | 8475 So Van Ness Ave, #106, Inglewood, CA 90305 | 2007-04-23 |
| 1114086105 | Lucas Health Partners, LLC | Clinic/Center | 3216 W. Manchester Blvd., Inglewood, CA 90305 | 2006-12-06 |
| 1861760456 | Marquita Jones | Counselor | 8619 Crenshaw Blvd, Inglewood, CA 90305 | 2011-12-09 |
| 1508147125 | Care Plus Family Dental | Clinic/Center | 8615 Crenshaw Blvd, #c, Inglewood, CA 90305 | 2011-09-09 |
| 1689811713 | Marva Diane Connor | Social Worker | 2500 W Manchester Blvd, Inglewood, AZ 90305 | 2009-01-12 |
| Find all providers in zip 90305 | ||||
| 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 |
|---|---|---|---|---|
| 1093231300 | Matia Medical, LLC | Durable Medical Equipment & Medical Supplies | 519 W Buckthorn St, Inglewood, CA 90301-3114 | 2017-08-17 |
| 1114290087 | Lashawn Theresa Chevalier | Durable Medical Equipment & Medical Supplies | 314 E. Hillcrest Bl, Inglewood, CA 90301-2423 | 2012-02-22 |
| 1528387081 | One Stop Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 115 1/2 E Arbor Vitae St, Inglewood, CA 90301-3839 | 2010-05-24 |
| 1841524220 | Mgm Mobility Inc. | Durable Medical Equipment & Medical Supplies | 160 E Tamarack Ave, Inglewood, CA 90301-3378 | 2009-10-01 |
| 1265766083 | Samik Medical Services Inc | Durable Medical Equipment & Medical Supplies | 720 E Manchester Blvd, Inglewood, CA 90301-1912 | 2009-09-25 |
| 1275867103 | Joerns LLC | Durable Medical Equipment & Medical Supplies | 8715 Aviation Blvd, Inglewood, CA 90301-2003 | 2009-09-24 |
| 1407189475 | S and J Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1329 N La Brea Ave, Inglewood, CA 90302-1216 | 2009-09-09 |
| 1326273095 | Fair Care Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 1224 N La Brea Ave, Inglewood, CA 90302-1215 | 2009-05-23 |
| 1871733782 | Pace Medical Services Inc. | Durable Medical Equipment & Medical Supplies | 3311 W Manchester Blvd, 105, Inglewood, CA 90305-2353 | 2009-03-05 |
| 1578700316 | Oceanic Medical Concepts Inc. | Durable Medical Equipment & Medical Supplies | 2688 W Imperial Hwy, Inglewood, CA 90303-3137 | 2009-01-15 |
| Find all providers in INGLEWOOD | ||||
Please comment or provide details below to improve the information on PREMIER MEDICAL SUPPLY SERVICES, LLC.
| 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.