SERVICE MERCHANTS INC (NPI# 1649580796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649580796 |
| Entity Type | Organization |
| Organization Name | SERVICE MERCHANTS INC |
| Other Organization Name | MAIN CLINIC SUPPLY |
| Practice Address |
1219 2nd St Sw Rochester MN 55902-1941 |
| Practice Telephone | 5075294030 |
| Practice Fax Number | 8007213103 |
| Mailing Telephone | 5075294030 |
| Mailing Fax Number | 8007213103 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Authorized Official Name | DIANA FOX (PRESIDENT) |
| Authorized Official Telephone | 5077221477 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 1126330 | MN | Suppliers |
| Other Name | Type Code |
|---|---|
| Main Clinic Supply | Doing Business As Name - Organization |
| Street Address |
1219 2ND ST SW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55902-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1720584337 | John E Herman Home and Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 351 14th Ave Sw, Rochester, MN 55902 | 2018-04-03 |
| 1912442898 | Esperanza Torres | Dental Hygienist | 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 | 2016-12-30 |
| 1578971149 | Alduz Inri Surio Cabasa | Student in an Organized Health Care Education/Training Program | 609 1st Street Sw, Unit 102, Rochester, MN 55902 | 2014-07-28 |
| 1679901854 | Julie Erickson | Dental Hygienist | United Way Building Suite #208, Rochester, MN 55902 | 2013-10-24 |
| 1619313590 | Mercedes K Schulz | Dental Hygienist | 13394th Ave Sw, Rochester, MN 55902 | 2013-05-17 |
| 1093087389 | Sarah Jean Dennison | Clinic/Center | 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 | 2012-02-01 |
| 1467732156 | Angela Elizabeth Peters | Registered Nurse | 1450 2nd Avenue Sw, Rochester, MN 55902 | 2011-08-25 |
| 1528350071 | Emily Zahasky Kraft | Pharmacist | 204 1st Street Sw, Rochester, MN 55902 | 2011-05-03 |
| 1093021982 | Sherry Dawn Boutcher | Dental Hygienist | 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 | 2010-08-30 |
| Find all providers in zip 55902 | ||||
| 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 |
|---|---|---|---|---|
| 1982242525 | Wound Pros New York | Durable Medical Equipment & Medical Supplies | 510 Clinton Square, Rochester, NY 14604-1700 | 2019-12-13 |
| 1558912303 | Reliable Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1200 Eastgate Drive S.e., Rochester, MN 55904 | 2019-09-24 |
| 1710544838 | Antonio Calascibetta, Dds, Pllc | Durable Medical Equipment & Medical Supplies | 4178 W Henrietta Rd Ste B, Rochester, NY 14623-5224 | 2019-05-23 |
| 1578064853 | Feet First Inc | Durable Medical Equipment & Medical Supplies | 1900 Clinton Ave S Ste 5, Rochester, NY 14618 | 2018-02-22 |
| 1639696156 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1829 Chili Ave, Rochester, NY 14624-3237 | 2017-08-25 |
| 1477079648 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1436 W Ridge Rd, Rochester, NY 14615-2411 | 2017-08-18 |
| 1376067934 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 804 N Goodman St, Rochester, NY 14609-4639 | 2017-07-26 |
| 1366965741 | Stanley Robinson | Durable Medical Equipment & Medical Supplies | 14 Bardin St, Rochester, NY 14615-3520 | 2017-07-18 |
| 1578004099 | Thermapparel LLC | Durable Medical Equipment & Medical Supplies | 125 Tech Park Dr # 1100, Suite 2130, Rochester, NY 14623-2446 | 2017-03-16 |
| 1609314343 | University of Rochester | Durable Medical Equipment & Medical Supplies | 155 Bellwood Dr, Rochester, NY 14606-4226 | 2017-02-02 |
| Find all providers in ROCHESTER | ||||
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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.