MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC (NPI# 1528143492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528143492 |
| Entity Type | Organization |
| Organization Name | MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, INC |
| Other Organization Name | BALLAD HEALTH MEDICAL EQUIPMENT |
| Practice Address |
1406 Tusculum Blvd Ste 2001 Greeneville TN 37745-4337 |
| Mailing Address |
311 Princeton Rd Ste 1 Johnson City TN 37601-2026 |
| Practice Telephone | 4235864364 |
| Practice Fax Number | 4235875543 |
| Mailing Telephone | 4235864364 |
| Mailing Fax Number | 4235875543 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-06-22 |
| Authorized Official Name | MARY LYNN KRUTAK (EVP/CFO) |
| Authorized Official Telephone | 4233023423 |
| 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 |
|---|---|---|---|
| TN | 3561737 | 05 |
| Other Name | Type Code |
|---|---|
| Ballad Health Medical Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992880876 | Mediserve Medical Equipment of Kingsport, Inc | Durable Medical Equipment & Medical Supplies | 444 Clinchfield St Ste 2201, Kingsport, TN 37660-3858 | 2006-10-26 |
| Street Address |
1406 TUSCULUM BLVD STE 2001 |
| City | GREENEVILLE |
| State | TN |
| Zip Code | 37745-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619409489 | Watauga Recovery Center Greeneville | Family Medicine | 819 W Church Street, Greeneville, TN 37745 | 2017-03-31 |
| 1154862340 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1404 East Church St, Greeneville, TN 37745 | 2017-03-20 |
| 1770024010 | Open Arms Care Corporation | Intermediate Care Facility, Mentally Retarded | 1406 East Church Street, Greeneville, TN 37745 | 2017-03-20 |
| 1336685569 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 1010 Old Stage Rd, Greeneville, TN 37745 | 2017-01-11 |
| 1750635298 | Matthew Brandon Allen | Pharmacist | 515 Van Hill Rd, Greeneville, TN 37745 | 2012-11-06 |
| 1083963466 | Addison Dimartino | Optometrist | 204 Emory Dr, Greeneville, TN 37745 | 2012-08-31 |
| 1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
| 1477786168 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1413 Tusculum Blvd, Greeneville, TN 37745 | 2009-08-27 |
| 1043458128 | Greenville Dental Associates, Pllc | Dentist | 1308 Tusculum Blvd., Greeneville, TN 37745 | 2009-01-28 |
| 1275779555 | Professional Hearing Aid Ctr | Hearing Aid Equipment | 705 Professional Plaza, #3, Greenville, TN 37745 | 2008-12-17 |
| Find all providers in zip 37745 | ||||
| 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 |
|---|---|---|---|---|
| 1235681081 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 2315 E Andrew Johnson Hwy, Greeneville, TN 37745-0996 | 2016-10-27 |
| 1497093025 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 2755 E Andrew Johnson Hwy, Greeneville, TN 37745-0955 | 2013-01-16 |
| 1336309004 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 104 Asheville Hwy, Greeneville, TN 37743-4602 | 2008-06-16 |
| 1811085228 | Tennessee Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 837 Tusculum Blvd, Greeneville, TN 37745 | 2006-10-11 |
| 1891891941 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 818 Tusculum Blvd, Ste 2, Greeneville, TN 37745-4002 | 2006-09-16 |
| 1760497796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1650 E Andrew Johnson Hwy, Greeneville, TN 37745-4274 | 2006-07-29 |
| 1134142847 | Rite Aid of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 503 Tusculum Boulevard, Greeneville, TN 37745-3934 | 2006-07-25 |
| 1144247503 | K Va T Food Stores Inc | Durable Medical Equipment & Medical Supplies | 905 Snapps Ferry Rd, Tusculum Blvd., Greeneville, TN 37745-4026 | 2006-07-15 |
| 1669442018 | Home Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 690 W Andrew Johnson Hwy, Greeneville, TN 37745-1291 | 2006-01-26 |
| 1326394818 | Medtec LLC | Durable Medical Equipment & Medical Supplies | 124 S Main St, Greeneville, TN 37743-4922 | 2012-08-02 |
| Find all providers in GREENEVILLE | ||||
| City | GREENEVILLE |
| Zip Code | 37745 |
Please comment or provide details below to improve the information on MEDISERVE MEDICAL EQUIPMENT OF KINGSPORT, 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.