DESERT MEDICAL LLC (NPI# 1316144090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316144090 |
| Entity Type | Organization |
| Organization Name | DESERT MEDICAL LLC |
| Practice Address |
43491 N Friend Ave Queen Creek AZ 85242-9621 |
| Practice Telephone | 4809874181 |
| Practice Fax Number | 8006810684 |
| Mailing Telephone | 4809874181 |
| Mailing Fax Number | 8006810684 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2007-07-14 |
| Authorized Official Name | KEVIN L BEAUDOIN (MANAGING MEMBER) |
| Authorized Official Telephone | 4804953537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | STATE RESALE TAX NUMBER | 20176791 | 01 |
| Street Address |
43491 N FRIEND AVE |
| City | QUEEN CREEK |
| State | AZ |
| Zip Code | 85242-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430618 | Di Nguyen | Pharmacist | 3111 West Hunt Highway, Queen Creek, AZ 85242 | 2010-01-20 |
| 1174857056 | Jessica Lynn Donnelly | Behavioral Analyst | 21007 E. Avendia Del Valle, Queen Creek, AZ 85242 | 2009-09-25 |
| 1306093984 | Charles Mckenzie | Dentist | 40815 N Ironwood Drive, Ste A102, Queen Creek, AZ 85242 | 2008-08-26 |
| 1104014943 | Queen Creek Smiles, LLP | Dentist | 18550 East Rittenhouse Road, Suite 103, Queen Creek, AZ 85242 | 2007-10-05 |
| 1972700359 | Sunrise Internal Medicine PC | Internal Medicine | 22707 S. Ellsworth Rd., Suite #h105, Queen Creek, AZ 85242 | 2007-06-29 |
| 1083811277 | Brian Joseph Goodman | Dentist | 18610 E. Rittenhouse Rd., Queen Creek, AZ 85242 | 2007-06-29 |
| 1972704757 | San Tan Urgent Care Health Center | Clinic/Center | 21321 E Ocotillo Road, Suite 118, Queen Creek, AZ 85242 | 2007-05-30 |
| 1538375647 | Jennifer Jean Job | Occupational Therapy Assistant | 3575 E Lawndale Place, Queen Creek, AZ 85242 | 2007-05-15 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1477767010 | San Tam Dental Care & Mobile Clinic PC | Dentist | 22240 S Ellsworth Rd, Suite 102, Queen Creek, AZ 85242 | 2007-05-10 |
| Find all providers in zip 85242 | ||||
| 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 |
|---|---|---|---|---|
| 1669013249 | Arizona Injury Center Pllc | Durable Medical Equipment & Medical Supplies | 21582 S Ellsworth Loop Rd Ste 120, Queen Creek, AZ 85142-7882 | 2019-10-04 |
| 1780164582 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 40950 N Ironwood Dr, Queen Creek, AZ 85140 | 2018-08-21 |
| 1629557913 | Bhsm Rehabilitation, LLC | Durable Medical Equipment & Medical Supplies | 20851 E Rittenhouse Rd # E103, Queen Creek, AZ 85142-4493 | 2018-08-08 |
| 1598928657 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21212 E Ocotillo Rd, Queen Creek, AZ 85142-9667 | 2008-07-08 |
| 1336319581 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 7587 S Power Rd, Queen Creek, AZ 85142-6323 | 2008-03-04 |
| 1154507176 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 21398 S Ellsworth Loop Rd, Queen Creek, AZ 85142-5379 | 2008-01-22 |
| 1285819938 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 21055 E Rittenhouse Rd, Queen Creek, AZ 85142-4477 | 2007-12-31 |
| 1669664793 | German Dobson Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 21201 E Ocotillo Rd, Queen Creek, AZ 85142-9339 | 2007-08-13 |
| 1790905537 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3111 W Hunt Hwy, Queen Creek, AZ 85142-9357 | 2007-04-26 |
| 1295740553 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 333 E Hunt Hwy, Queen Creek, AZ 85143-4495 | 2006-07-29 |
| Find all providers in QUEEN CREEK | ||||
| City | QUEEN CREEK |
| Zip Code | 85242 |
Please comment or provide details below to improve the information on DESERT MEDICAL 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.