HERITAGE MEDICAL EQUIPMENT AND SUPPLIES INC (NPI# 1346290996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346290996 |
| Entity Type | Organization |
| Organization Name | HERITAGE MEDICAL EQUIPMENT AND SUPPLIES INC |
| Practice Address |
624 S Roosevelt Ave Burlington IA 52601 |
| Mailing Address |
Po Box 1440 Burlington IA 52601-8440 |
| Practice Telephone | 3197684300 |
| Practice Fax Number | 3197533693 |
| Mailing Telephone | 3197684300 |
| Mailing Fax Number | 3197533693 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2018-07-30 |
| Authorized Official Name | JEFFREY H TAEGER (DIRECTOR) |
| Authorized Official Telephone | 3197684190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 203.000134 | IL | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 203.000124 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0202598 | 05 | |
| IA | WELLMARK BCBS OF IA | 20259 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386694941 | Heritage Medical Equipment and Supplies Inc | Durable Medical Equipment & Medical Supplies | 1223 S Gear Ave, Suite 100, West Burlington, IA 52655 | 2006-05-12 |
| Street Address |
624 S ROOSEVELT AVE |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689791972 | Heritage Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 624 S Roosevelt Ave, Burlington, IA 52601 | 2007-03-23 |
| 1083628721 | Frank Micucci | Physician Assistant | 624 S Roosevelt Ave, Suite 101, Burlington, IA 52601-1668 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| 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 |
|---|---|---|---|---|
| 1447883673 | Triad Mobility & Supply LLC | Durable Medical Equipment & Medical Supplies | 2378 Corporation Pkwy Ste D, Burlington, NC 27215-6749 | 2020-02-17 |
| 1831658509 | Surecare Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 236 N Mebane St Ste 124, Burlington, NC 27217-3900 | 2019-03-13 |
| 1417462888 | Integrity Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 236 N Mebane St Ste 121, Burlington, NC 27217-3900 | 2017-12-07 |
| 1992223853 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2294 N Church St, Burlington, NC 27217-3111 | 2017-08-31 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1114453289 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2495 Corporation Pkwy, Burlington, NC 27215-9863 | 2017-05-10 |
| 1831550805 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 3344 S Church St, Burlington, NC 27215-9150 | 2016-03-17 |
| 1720454531 | Regional Home Care Inc | Durable Medical Equipment & Medical Supplies | 149 Middlesex Tpke, Burlington, MA 01803-4425 | 2015-08-16 |
| 1396148243 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 505 Housatonic St, Burlington, KS 66839-1712 | 2014-10-07 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
Please comment or provide details below to improve the information on HERITAGE MEDICAL EQUIPMENT AND SUPPLIES INC.
| 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.