TRI-STATE MEDICAL SUPPLIES, INC (NPI# 1336107572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336107572 |
| Entity Type | Organization |
| Organization Name | TRI-STATE MEDICAL SUPPLIES, INC |
| Other Organization Name | DIABETIC RESOURCE SPECIALISTS |
| Practice Address |
545 W Main St Suite 305 Dothan AL 36301-1654 |
| Mailing Address |
Po Box 1032 Dothan AL 36302-1032 |
| Practice Telephone | 3346713035 |
| Practice Fax Number | 3346711195 |
| Mailing Telephone | 3346713035 |
| Mailing Fax Number | 3346711195 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MS. INGRID DIONE TRAWICK (PRESIDENT) |
| Authorized Official Telephone | 3346713035 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 51516630 | BCBS | 01 |
| AL | 009944675 | 05 |
| Other Name | Type Code |
|---|---|
| Diabetic Resource Specialists | Doing Business As Name - Organization |
| Street Address |
545 W MAIN ST SUITE 305 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588215545 | Mercy Creek Counseling Services, LLC | Counselor | 545 W Main St, Dothan, AL 36301-1654 | 2019-09-21 |
| 1689944324 | Whitehurst Companion Care Associates | In Home Supportive Care | 545 W Main St, Suite 100 -105, Dothan, AL 36301-1654 | 2012-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| 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 |
|---|---|---|---|---|
| 1255989307 | Wiregrass Medical Holdings LLC | Durable Medical Equipment & Medical Supplies | 566 W Carroll St Ste 3, Dothan, AL 36301-4376 | 2019-09-02 |
| 1568833192 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3871 W Main St, Dothan, AL 36305-9394 | 2015-10-08 |
| 1295144848 | Universal Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 509 W Washington St, Dothan, AL 36301-2442 | 2014-08-07 |
| 1356695662 | Wilmington Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 126 S Alice St, Suite 4, Dothan, AL 36301-1651 | 2012-11-08 |
| 1124376652 | Solara Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 111 Adris Pl Ste 7, Dothan, AL 36303-2006 | 2012-08-15 |
| 1063704690 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 3525 Ross Clark Cir, Suite 100, Dothan, AL 36303-5933 | 2011-05-16 |
| 1053628826 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 4650 W Main St Ste 700, Dothan, AL 36305-9421 | 2010-09-01 |
| 1306151782 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3574 Montgomery Hwy, Dothan, AL 36303-2165 | 2010-08-10 |
| 1609104736 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2830 Horace Shepard Dr, Suite 2, Dothan, AL 36303-1007 | 2009-12-01 |
| 1508095852 | Cypress Therapeutic Footwear LLC | Durable Medical Equipment & Medical Supplies | 3818 Napier Field Rd Lot G714, Dothan, AL 36303-0932 | 2009-07-08 |
| Find all providers in DOTHAN | ||||
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| 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.