TRI-STATE MEDICAL SUPPLIES, NORTH GROVE (NPI# 1275011652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275011652 |
| Entity Type | Organization |
| Organization Name | TRI-STATE MEDICAL SUPPLIES, NORTH GROVE |
| Other Organization Name | TRI-STATE MEDICAL SUPPLIES NORTH GROVE |
| Practice Address |
1330 Boiling Springs Rd Ste 2900 Spartanburg SC 29303 |
| Mailing Address |
2375 E Main St Ste A106 Spartanburg SC 29307-1411 |
| Practice Telephone | 8645865740 |
| Mailing Telephone | 8645792899 |
| Mailing Fax Number | 8645792844 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | ROHIT N PATEL (OWNER) |
| Authorized Official Telephone | 8645792899 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRI-STATE MEDICAL SUPPLIES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1760460182 | 05 |
| Other Name | Type Code |
|---|---|
| Tri-State Medical Supplies | Doing Business As Name - Organization |
| Tri-State Medical Supplies North Grove | Doing Business As Name - Organization |
| Street Address |
1330 BOILING SPRINGS RD STE 2900 |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013532126 | Adam Joseph Fulcher | Family Medicine | Center for Family Medicine, 853 N. Church Street, Suite 510, Spartanburg, SC 29303 | 2020-06-15 |
| 1992227151 | Roxanne Pope | Speech-Language Pathologist | 290 N Grove Medical Park Dr., Spartanburg, SC 29303 | 2017-07-10 |
| 1861934879 | Cortney Redmond Mckinney I | Counselor | 250 Dewey Sve., Spartanburg, SC 29303 | 2016-11-08 |
| 1578011474 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 269 North Grove Medical Drive, Spartanburg, SC 29303 | 2016-09-20 |
| 1023477536 | Whitney Brooke Terry | Physician Assistant | 391 Serpentine Dr Ste 250, Spartanburg, SC 29303 | 2016-02-12 |
| 1306244348 | Medcare Urgent Care Spartanburg, LLC | Clinic/Center | 301 E Wood Street, Spartanburg, SC 29303 | 2014-12-08 |
| 1508201393 | Tom Ju | Anesthesiology | 1330 Boiling Springs Rd Ste 2700, Spartanburg, SC 29303 | 2013-05-07 |
| 1295072312 | Marie O'dell | Registered Nurse | 7 698 Howard Street, Spartanburg School District, Spartanburg, SC 29303 | 2013-01-09 |
| 1518203330 | Sherard Hamilton Ansley | Speech-Language Pathologist | 698 Howard St., Spartanburg School District 7, Spartanburg, SC 29303 | 2012-12-26 |
| 1710222021 | Brian D. Ray Dmd | Dentist | 1256 Boiling Springs Road, Spartanburg, SC 29303 | 2012-11-28 |
| Find all providers in zip 29303 | ||||
| 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 |
|---|---|---|---|---|
| 1992339220 | Donald Jason Jolley | Durable Medical Equipment & Medical Supplies | 1413 Wo Ezell Blvd, Spartanburg, SC 29301-1560 | 2020-02-25 |
| 1881118511 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Pine St Ste 32, Spartanburg, SC 29303-3182 | 2017-08-03 |
| 1619490646 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1510 Wo Ezell Blvd, Spartanburg, SC 29301-2616 | 2017-07-21 |
| 1376095620 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 225 E Blackstock Rd, Spartanburg, SC 29301-2633 | 2016-11-02 |
| 1215375944 | Southeastern Paper Group | Durable Medical Equipment & Medical Supplies | 50 Old Blackstock Rd, Spartanburg, SC 29301-5571 | 2013-06-04 |
| 1699086546 | Peacock Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 8147 Warren H Abernathy Hwy, Spartanburg, SC 29301-2451 | 2010-06-25 |
| 1912221664 | Peaock Medical Equipment & Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 550 S Church St Ste 11, Spartanburg, SC 29306-3306 | 2010-03-24 |
| 1750549341 | Miracle Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 275 S Church St, Suite 103, Spartanburg, SC 29306-3417 | 2008-05-30 |
| 1922283308 | David E Byers | Durable Medical Equipment & Medical Supplies | 1413 W O Ezell Blvd, Spartanburg, SC 29301-1560 | 2008-01-04 |
| 1053595074 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2198 Southport Rd, Spartanburg, SC 29306-6258 | 2007-12-27 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29303 |
Please comment or provide details below to improve the information on TRI-STATE MEDICAL SUPPLIES, NORTH GROVE.
| 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.