AMERICAN EAGLE MEDICAL SUPPLY (NPI# 1598038564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598038564 |
| Entity Type | Organization |
| Organization Name | AMERICAN EAGLE MEDICAL SUPPLY |
| Practice Address |
2612 N Main St Vidor TX 77662-2674 |
| Practice Telephone | 4097693897 |
| Practice Fax Number | 4097839758 |
| Mailing Telephone | 4097693897 |
| Mailing Fax Number | 4097839758 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |
| Authorized Official Name | JASON M HOLMES (OWNER) |
| Authorized Official Telephone | 4097693897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1000851 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS REGULATORY LICENSE | 1000851 | 01 |
| Street Address |
2612 N MAIN ST |
| City | VIDOR |
| State | TX |
| Zip Code | 77662-2674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801999727 | Jason M Holmes | Chiropractor | 2612 N Main St, Vidor, TX 77662-2674 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497033674 | Minor Home Healthcare & Housekeeping Associates | Custodial Care Facility | 2730 Hwy 12 Ste. 2, Vidor, TX 77662 | 2011-07-22 |
| 1356477764 | Vidor Pharmacy LLC. | Durable Medical Equipment & Medical Supplies | 1130 N Main St, Vidor, TX 77662 | 2007-02-27 |
| 1114566833 | Crystal Young | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2019-12-27 |
| 1770035966 | Terri Jo Clark | Nurse Practitioner | 2353 N Main St, Vidor, TX 77662-2610 | 2016-11-04 |
| 1952798191 | Suhani Bhakta | Family Medicine | 2353 N Main St, Vidor, TX 77662-2610 | 2015-04-24 |
| 1174023691 | Kathy Blankenship | Home Health | 615 Evangeline Dr, Vidor, TX 77662-2719 | 2018-02-21 |
| 1770646150 | Promed Medical & Respiratory Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1465 N Main St, Vidor, TX 77662-3009 | 2006-12-18 |
| 1972584852 | Texas Total Care,inc. | Home Health | 1880 N Main St, Vidor, TX 77662-3018 | 2005-11-08 |
| 1063793586 | Michael K Crossley, M D P A | Family Medicine | 1880 N Main St, Vidor, TX 77662-3018 | 2011-08-30 |
| 1942236153 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1305 N Main St, Vidor, TX 77662-3726 | 2006-06-23 |
| Find all providers in zip 77662 | ||||
| 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 |
|---|---|---|---|---|
| 1356477764 | Vidor Pharmacy LLC. | Durable Medical Equipment & Medical Supplies | 1130 N Main St, Vidor, TX 77662 | 2007-02-27 |
| 1770646150 | Promed Medical & Respiratory Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1465 N Main St, Vidor, TX 77662-3009 | 2006-12-18 |
| 1457378630 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1360 N Main St, Vidor, TX 77662-3727 | 2006-07-16 |
| 1942236153 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1305 N Main St, Vidor, TX 77662-3726 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467929 | Rgc Dme Repair Center | Durable Medical Equipment & Medical Supplies | 517 N. 10th Street, Mcallen, TX 78501-4511 | 2020-11-03 |
| 1063012805 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 129 Shahan Prairie Rd, Oak Point, TX 75068 | 2020-10-30 |
| 1285234468 | Slow Wave, Inc. | Durable Medical Equipment & Medical Supplies | 26100 Countryside Dr, Spicewood, TX 78669-1362 | 2020-10-28 |
| 1639779978 | Med9x Health Solutions Inc | Durable Medical Equipment & Medical Supplies | 808 S.shary Rd, Ste 5, #405, Mission, TX 78572-8569 | 2020-10-27 |
| 1740889005 | Clinical Tissue Technologies LLC | Durable Medical Equipment & Medical Supplies | 2921 Brown Trl # 101, Bedford, TX 76021-4144 | 2020-10-19 |
| 1245838960 | On Call Medical Services, LLC. | Durable Medical Equipment & Medical Supplies | 537 E Frontage Rd Ste A, Alamo, TX 78516-2336 | 2020-10-14 |
| 1396342143 | Bella Vida Dme, LLC. | Durable Medical Equipment & Medical Supplies | 2604 N Raul Longoria Rd Ste 104, San Juan, TX 78589-4212 | 2020-10-05 |
| 1194322099 | 3j Capital, LLC | Durable Medical Equipment & Medical Supplies | 11805 Interstate 27, Amarillo, TX 79119-3901 | 2020-10-04 |
| 1235746413 | Austin Regional Clinic, Pa | Durable Medical Equipment & Medical Supplies | 22420 Ih 35, Ste 203, Kyle, TX 78640-2656 | 2020-09-30 |
| 1205443371 | Bridgewater Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 603 Munger Ave Ste 1001011, Dallas, TX 75202-1839 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
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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.