RICK'S MEDICAL SUPPLY, INC


Address: 562 Parsons Drive, Suite 114, Medford, OR 97501
Phone: 5416723042

RICK'S MEDICAL SUPPLY, INC (NPI# 1316458813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316458813
Entity Type Organization
Organization Name RICK'S MEDICAL SUPPLY, INC
Practice Address 562 Parsons Drive
Suite 114
Medford
OR 97501
Mailing Address 482 Ne Winchester St
Roseburg
OR 97470-3256
Practice Telephone 5416723042
Mailing Telephone 5416723042
Mailing Fax Number 5416730715
Enumeration Date 2017-10-24
Last Update Date 2017-10-24
Authorized Official Name BRAD WATKINS (PRESIDENT)
Authorized Official Telephone 5416723042
Is Organization Subpart Y
Parent Organization Name RICK'S MEDICAL SUPPLY, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
OR 1645900 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629558010 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 1934c Newmark St, North Bend, OR 97459-1230 2018-08-15
1962940981 Rick's Medical Supply, Inc Durable Medical Equipment & Medical Supplies 780 Nw Garden Valley Blvd, Suite 240, Roseburg, OR 97471-1955 2017-02-09

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names RICK'S MEDICAL SUPPLY, INC. 482 Ne Winchester St, Roseburg, OR 97470

Office Location

Street Address 562 PARSONS DRIVE
SUITE 114
City MEDFORD
State OR
Zip Code 97501

Providers in the same zip code

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1366069494 Brian Snapp Counselor 1191 Hazel St, Medford, OR 97501 2020-07-06
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1265993620 Star Dialysis LLC Clinic/Center 50 Rossanley Dr, Medford, OR 97501 2019-03-28
1962972463 Karen Elise Roertgen Counselor 328 So. Central Ave., Suite 204, Medford, OR 97501 2018-11-28
1750807111 La Clinica Del Valle Family Health Care Center Inc. Clinic/Center 821 N Riverside Ave, Medford, OR 97501 2017-08-17
1992229009 Cassandra Schultz Massage Therapist 824 East Jackson, Suite A, Medford, OR 97501 2017-07-31
1972962355 Robin Clevenger Peer Specialist 301 S Ivy St, Medford, OR 97501 2016-02-15
1154706984 Debbie Diane Orr Behavioral Analyst 1024 West 9th Street, Medford, OR 97501 2015-07-22
1417339359 Angela Marie Dedionisio Optometrist 38 Rossanley Dr, Medford, OR 97501 2015-06-28
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710536321 Bone & Joint Clinic S.c. Durable Medical Equipment & Medical Supplies 724 S. 8th St, Medford, WI 54451 2019-09-06
1568953529 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 471 Salem St, Medford, MA 02155 2018-05-25
1598126534 Professional Occupational & Physical Therapy, Pllc Durable Medical Equipment & Medical Supplies 1733 N Ocean Ave Ste A, Medford, NY 11763-2606 2016-03-18
1720329055 Northwest Medical, LLC. Durable Medical Equipment & Medical Supplies 935 Town Centre Dr Ste 102, Medford, OR 97504-6172 2013-03-12
1407195878 Eads Furniture & Appliance Durable Medical Equipment & Medical Supplies 853 S Riverside Ave, Medford, OR 97501-7839 2013-02-05
1760735203 The Scooter Store - Portland, LLC Durable Medical Equipment & Medical Supplies 4779 Airway Dr, Unit #100, Medford, OR 97502-3606 2012-10-22
1780952838 On The Move Mobility, LLC Durable Medical Equipment & Medical Supplies 33 Cranberry Ct, Medford, NJ 08055-8338 2011-12-05
1710261730 Boyds Pharmacy of Medford Inc Durable Medical Equipment & Medical Supplies 5 Wilkins Station Rd Ste 100, Medford, NJ 08055-9606 2011-10-10
1194006262 Home Medical Products and Services, LLC Durable Medical Equipment & Medical Supplies 632 S 8th St, Medford, WI 54451-2017 2011-09-02
1558673061 Walgreen Co Durable Medical Equipment & Medical Supplies 2280 W Main St, Medford, OR 97501-2210 2010-07-13
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Competitor

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City MEDFORD
Zip Code 97501

Improve Information

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Dataset Information

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.

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