RICK'S MEDICAL SUPPLY, INC (NPI# 1629558010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629558010 |
| Entity Type | Organization |
| Organization Name | RICK'S MEDICAL SUPPLY, INC |
| Practice Address |
1934c Newmark St North Bend OR 97459-1230 |
| Mailing Address |
482 Ne Winchester St Roseburg OR 97470-3256 |
| Practice Telephone | 5416723042 |
| Practice Fax Number | 5416730715 |
| Mailing Telephone | 5416723042 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2019-02-18 |
| Authorized Official Name | BRAD WATKINS (PRESIDENT) |
| Authorized Official Telephone | 5416723042 |
| 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 |
|---|---|---|---|
| OR | 164590 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1962940981 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 780 Nw Garden Valley Blvd, Suite 240, Roseburg, OR 97471-1955 | 2017-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RICK'S MEDICAL SUPPLY, INC. | 482 Ne Winchester St, Roseburg, OR 97470 |
| Street Address |
1934C NEWMARK ST |
| City | NORTH BEND |
| State | OR |
| Zip Code | 97459-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
| 1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
| 1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
| 1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
| 1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
| 1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
| 1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
| 1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
| Find all providers in zip 97459 | ||||
| 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 |
|---|---|---|---|---|
| 1750631248 | Coastal Medical Services LLC | Durable Medical Equipment & Medical Supplies | 1810 Monroe Ave Ste 18, North Bend, OR 97459-8521 | 2012-09-12 |
| 1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
| 1700173705 | S & H Ventures | Durable Medical Equipment & Medical Supplies | 916 Riverside Dr Se, North Bend, WA 98045-7917 | 2011-06-29 |
| 1598978280 | Pacific Medical Services, LLC | Durable Medical Equipment & Medical Supplies | 2674 Broadway St, North Bend, OR 97459-2214 | 2007-05-08 |
| 1124137401 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 2040 Broadway Street, North Bend, OR 97459-2328 | 2006-08-30 |
| 1871518415 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 460 E North Bend Way, North Bend, WA 98045-8270 | 2006-07-13 |
| 1902839269 | Bimart Corporation | Durable Medical Equipment & Medical Supplies | 2131 Newmark St, North Bend, OR 97459-1219 | 2006-07-09 |
| 1205865243 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1735 Virginia Ave, North Bend, OR 97459-2346 | 2006-07-02 |
| 1376572396 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 460 Sw Mt Si Blvd, North Bend, WA 98045-8291 | 2006-07-02 |
| 1013517390 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1890 Waite St Ste 1, North Bend, OR 97459-1229 | 2020-10-27 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 97459 |
Please comment or provide details below to improve the information on RICK'S MEDICAL SUPPLY, 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.