UPSTATE MEDICAL SUPPLY LLC (NPI# 1386677862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386677862 |
| Entity Type | Organization |
| Organization Name | UPSTATE MEDICAL SUPPLY LLC |
| Practice Address |
408 N Duncan Bypass Suite 11 Box 3 Union SC 29379 |
| Practice Telephone | 8644294507 |
| Practice Fax Number | 8644294597 |
| Mailing Telephone | 8644294507 |
| Mailing Fax Number | 8644294597 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. SCOTT LAGENE SMITH (OWNER) |
| Authorized Official Telephone | 8644294507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | SC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | DE2751 | 05 |
| Street Address |
408 N DUNCAN BYPASS SUITE 11 BOX 3 |
| City | UNION |
| State | SC |
| Zip Code | 29379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780049072 | Dorothy Craig | Social Worker | 201 Herndon, Union, SC 29379 | 2015-12-31 |
| 1588049662 | Spartanburg Medical Center | Internal Medicine | 408 North Duncan By Pass, Suite L, Union, SC 29379 | 2015-07-30 |
| 1891045118 | Crystal Berry Earls | Pharmacist | 109 Beechtree Place, Union, SC 29379 | 2012-09-13 |
| 1871732271 | Union Hospital District Dba Cha Family Medicine | Family Medicine | 801 West Main St, Union, SC 29379 | 2009-02-10 |
| 1336388735 | Union Hospital District | Internal Medicine | 408 N Duncan By Pass, Suite L, Union, SC 29379 | 2009-02-10 |
| 1215185178 | Oakmont of Union Sc LLC | Assisted Living Facility | 709 Rice Street, Union, SC 29379 | 2008-09-04 |
| 1700072444 | Union Hospital District | Obstetrics & Gynecology | 720 South Duncan Bypass, Suite C, Union, SC 29379 | 2007-09-17 |
| 1154449130 | Whitney Connolly Leary | Speech-Language Pathologist | 720 A South Duncan Bypass, Union, SC 29379 | 2007-03-27 |
| 1467577353 | Kathryn Cook Scales | Counselor | 323 W South Street, Union, SC 29379 | 2007-03-20 |
| 1104957901 | Owen K Woolever | Physical Therapist | 720 A S Duncan Bypass, Union, SC 29379 | 2007-03-07 |
| Find all providers in zip 29379 | ||||
| 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 |
|---|---|---|---|---|
| 1861916579 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 941 945 Stuyvesant Ave, Union, NJ 07083 | 2017-08-03 |
| 1164771267 | Empire Mediquip LLC | Durable Medical Equipment & Medical Supplies | 120 Morris Ave, Union, NJ 07083 | 2012-09-05 |
| 1386991867 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1311 Morris Ave, Union, NJ 07083 | 2012-08-14 |
| 1386880524 | Girl On The Go | Durable Medical Equipment & Medical Supplies | 725 Liberty Ave, Union, NJ 07083-6439 | 2008-12-17 |
| 1790940419 | Ivey's Home Furnishings, Inc | Durable Medical Equipment & Medical Supplies | 3618 Lockhart Hwy, Union, SC 29379-8528 | 2008-07-22 |
| 1447442843 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1319 Magie Ave, Union, NJ 07083-8070 | 2007-08-10 |
| 1215139092 | Upstate Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 408 N Duncan Byp Ste 11, Union, SC 29379-8663 | 2007-06-04 |
| 1467572016 | Stop & Shop Supermarket Company | Durable Medical Equipment & Medical Supplies | 1201 Stuyvesant Ave, Union, NJ 07083-3821 | 2007-03-29 |
| 1003969890 | Medical Rental & Sales Inc | Durable Medical Equipment & Medical Supplies | 101 S Boyce St, Suite C, Union, SC 29379-2203 | 2007-01-18 |
| 1518036391 | All Comfort, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Stuyvesant Ave, Union, NJ 07083-6000 | 2006-11-07 |
| Find all providers in UNION | ||||
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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.