RIVERSIDE MEDICAL SUPPLY, INC (NPI# 1366686412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366686412 |
Entity Type | Organization |
Organization Name | RIVERSIDE MEDICAL SUPPLY, INC |
Practice Address |
208 Mickey Gilley Ave Ferriday LA 71334-2834 |
Mailing Address |
Po Box 326 208 Mickey Gilley Avenue Ferriday LA 71334-0326 |
Practice Telephone | 3187572530 |
Practice Fax Number | 3187572540 |
Mailing Telephone | 3187572530 |
Mailing Fax Number | 3187572540 |
Enumeration Date | 2009-04-20 |
Last Update Date | 2010-05-10 |
Authorized Official Name | BONNIE SUE FREEMAN (PRESIDENT) |
Authorized Official Telephone | 3187576292 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Street Address |
208 MICKEY GILLEY AVE |
City | FERRIDAY |
State | LA |
Zip Code | 71334-2834 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164900759 | Komonicca Cook Collins | Counselor | 2222 Hwy 65, Ferriday, LA 71334 | 2018-08-06 |
1245716331 | Melissa Lehman | Registered Nurse | 1421 Hwy 568, Ferriday, LA 71334 | 2018-07-12 |
1912400995 | All About You Healthcare Sitter Service, Inc | Community/Behavioral Health | 110 Louisiana Ave, Ferriday, LA 71334 | 2018-03-15 |
1598272288 | Adarsha Gautam | Physical Therapist | 1700 Ee Wallace Bloulevard, Ferriday, LA 71334 | 2018-01-04 |
1336669878 | Detrick Lashae Winding | Physical Therapy Assistant | 110 Serio Blvd., Ferriday, LA 71334 | 2017-06-26 |
1821518812 | Lyndsey Renea Smith | Occupational Therapy Assistant | 1700 E E Wallace Blvd, Ferriday, LA 71334 | 2017-06-21 |
1275989386 | Nearther Marie Ceasor | Case Manager/Care Coordinator | 123 Canal St, Ferriday, LA 71334 | 2016-05-06 |
1689046559 | Fredrica Williams | Counselor | 615 Ee Wallace Blvd S, Ferriday, LA 71334 | 2015-10-30 |
1841676129 | Stacey Lacombe Armand | Nurse Practitioner | Concordia Parish Health Unit/office of Public Health, 905 Mickey Gilley Ave., Ferriday, LA 71334 | 2015-08-10 |
1720349392 | Exodus Behavioral Health Center-ferriday, LLC | Community/Behavioral Health | 201 Ee Wallace Blvd Suite 3, Ferriday, LA 71334 | 2012-05-31 |
Find all providers in zip 71334 |
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 |
---|---|---|---|---|
1093181992 | C&c Investment Holdings LLC | Durable Medical Equipment & Medical Supplies | 1411 Ee Wallace Blvd N, Ferriday, LA 71334-2244 | 2015-08-13 |
1437542537 | Vital Care of Miss-lou, Inc. | Durable Medical Equipment & Medical Supplies | 131 Doctors Dr, Ferriday, LA 71334-2251 | 2015-03-13 |
1437462884 | G C Pharmacy Enterprises Inc | Durable Medical Equipment & Medical Supplies | 131 Doctor's Lane, Ferriday, LA 71334 | 2010-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922612555 | Jill Covington Johnson | Durable Medical Equipment & Medical Supplies | 17098 W Willow Dr, Prairieville, LA 70769-4180 | 2020-09-01 |
1093325854 | Morning Star Medical | Durable Medical Equipment & Medical Supplies | 456 W 61st St, Shreveport, LA 71106-2511 | 2020-08-06 |
1386253300 | Michele Burmaster | Durable Medical Equipment & Medical Supplies | 68467 Highway 59 Ste 1, Mandeville, LA 70471-7786 | 2020-07-27 |
1619593308 | Preference Medical | Durable Medical Equipment & Medical Supplies | 105 Beech St, Covington, LA 70433-6214 | 2020-06-18 |
1871116095 | Tina Mayo Womack | Durable Medical Equipment & Medical Supplies | 18017 Glen Park Dr, Baton Rouge, LA 70817-9583 | 2020-05-21 |
1043832843 | Arkla Ramps, LLC | Durable Medical Equipment & Medical Supplies | 13522 S Choctaw Dr Ste 103, Baton Rouge, LA 70815-2819 | 2020-05-14 |
1083236053 | Factor- A | Durable Medical Equipment & Medical Supplies | 1200 Camellia Blvd Ste 400, Lafayette, LA 70508-6163 | 2020-05-13 |
1730718057 | Megan Mcsweeney Colosino | Durable Medical Equipment & Medical Supplies | 22 Plover St, New Orleans, LA 70124-4408 | 2020-04-07 |
1669001640 | Magnolia Healthcare Pa LLC | Durable Medical Equipment & Medical Supplies | 2519 N 7th St Ste 4, West Monroe, LA 71291-5170 | 2020-04-02 |
1558992966 | Summit South Dme, LLC | Durable Medical Equipment & Medical Supplies | 9357 Interline Ave, Baton Rouge, LA 70809-1910 | 2020-02-04 |
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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.