EVERETT SERVICE PROVIDER MULTI MEDICAL GROUP (NPI# 1659897213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659897213 |
| Entity Type | Organization |
| Organization Name | EVERETT SERVICE PROVIDER MULTI MEDICAL GROUP |
| Practice Address |
7296 Quaker Dr Suffolk VA 23437-8903 |
| Practice Telephone | 7572350463 |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |
| Authorized Official Name | JOHN R PAIGE (VICE PRESIDENT) |
| Authorized Official Telephone | 7577930146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
7296 QUAKER DR |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23437-8903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184111502 | John R Paige | Home Health | 7296 Quaker Dr, Suffolk, VA 23437-8903 | 2018-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962984328 | Box Elder Behavioral Health LLC | Clinic/Center | 1795 Box Elder Road, Suffolk, VA 23437 | 2018-09-02 |
| 1558707984 | Amy Marie Clark | Military Health Care Provider | 260 Barnes Rd, Suffolk, VA 23437 | 2013-05-13 |
| 1548463185 | Mckenney Medical Group, Pllc | Family Medicine | 6712a S Quay Rd, Suffolk, VA 23437-8697 | 2007-06-11 |
| 1073069399 | Gertrude Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7566 Quaker Dr, Suffolk, VA 23437-8906 | 2016-08-28 |
| 1780238105 | Lora Faulk Hunter | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-07-25 |
| 1629613526 | Riding With My Angels, LLC | Non-emergency Medical Transport (VAN) | 6425 Okelly Dr, Suffolk, VA 23437-8978 | 2019-11-14 |
| 1396915195 | Independent Senior Home Services | Home Health | 4599 Quaker Dr, Suffolk, VA 23437-9026 | 2008-03-07 |
| 1760572994 | A and R Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6020 Holy Neck Rd, Suffolk, VA 23437-9227 | 2006-10-16 |
| 1386132363 | Branchaud Behavioral Therapy | Behavioral Analyst | 5776 Greenwood Rd, Suffolk, VA 23437-9252 | 2018-04-25 |
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| Find all providers in zip 23437 | ||||
| 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 |
|---|---|---|---|---|
| 1043733785 | Virginia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2775 Godwin Blvd, Suffolk, VA 23434-8037 | 2017-07-25 |
| 1528420130 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 6150 College Drive, Suffolk, VA 23435-1234 | 2016-03-23 |
| 1588061741 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 W Constance, Suffolk, VA 23434 | 2014-12-03 |
| 1376944157 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 1017 University Blvd, Suffolk, VA 23435-0048 | 2014-09-11 |
| 1568668549 | Digitrace Care Services, Inc. | Durable Medical Equipment & Medical Supplies | 154 Burnetts Way, Suffolk, VA 23434-8366 | 2007-06-26 |
| 1487783825 | Urology of Va PC | Durable Medical Equipment & Medical Supplies | 2790 Godwin Blvd Ste 225, Suffolk, VA 23434-8155 | 2007-03-03 |
| 1104907922 | Suffolk Home Medical | Durable Medical Equipment & Medical Supplies | 815 W Constance Rd, Suffolk, VA 23434-5649 | 2006-10-18 |
| 1720174675 | The Shoe Fits At 1 Foot 2 Foot LLC | Durable Medical Equipment & Medical Supplies | 173 N Main St, Suffolk, VA 23434-4507 | 2006-10-05 |
| 1558462242 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1405 North Main Street, Suffolk, VA 23434-4352 | 2006-09-26 |
| 1255430492 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 1517 Holland Road, Suffolk, VA 23434-6313 | 2006-09-22 |
| Find all providers in SUFFOLK | ||||
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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.