PREMIER MEDICAL EQUIPMENT & SUPPLIES, INC (NPI# 1669427076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669427076 |
| Entity Type | Organization |
| Organization Name | PREMIER MEDICAL EQUIPMENT & SUPPLIES, INC |
| Practice Address |
4211 Hospital St Ste 102 Pascagoula MS 39581-5310 |
| Practice Telephone | 2287627776 |
| Practice Fax Number | 2287627786 |
| Mailing Telephone | 2287627776 |
| Mailing Fax Number | 2287627786 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | MR. KENNETH R CLARK (OWNER) |
| Authorized Official Telephone | 2287627776 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 058264/11.1 | MS | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MS | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164502308 | Premier Medical Equipment & Supplies, Inc | Durable Medical Equipment & Medical Supplies | 1352 W 4th St, Mansfield, OH 44906-1828 | 2006-10-16 |
| Street Address |
4211 HOSPITAL ST STE 102 |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| 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 |
|---|---|---|---|---|
| 1275890014 | Physicians Care Plaza | Durable Medical Equipment & Medical Supplies | 4310 Chicot St, Pascagoula, MS 39581-4700 | 2012-04-18 |
| 1487960613 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 2511 Ingalls Ave, Pascagoula, MS 39567-5650 | 2010-08-25 |
| 1811229644 | Grace Healthcare Medical Inc. | Durable Medical Equipment & Medical Supplies | 2609 Catalpa Ave, Pascagoula, MS 39567-1806 | 2010-02-04 |
| 1386659548 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3800 Market St, Pascagoula, MS 39567-3036 | 2006-07-29 |
| 1992722300 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4253 Denny Ave, Pascagoula, MS 39581-5502 | 2006-07-16 |
| 1174832810 | Singing River Health System | Durable Medical Equipment & Medical Supplies | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2010-09-29 |
| 1427288497 | Bienville Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3615 Hospital St, Pascagoula, MS 39581-4112 | 2009-07-23 |
| 1811188444 | Austin Taylor D.d.s., P.a. | Durable Medical Equipment & Medical Supplies | 2910 Melton Ave, Pascagoula, MS 39581-4120 | 2007-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1720605215 | M&s Medical | Durable Medical Equipment & Medical Supplies | 181 Highway 334, Oxford, MS 38655-9402 | 2020-06-30 |
| 1972126407 | Reliant Home Medical Supplies and Equipment LLC | Durable Medical Equipment & Medical Supplies | 134 E Commerce St, Aberdeen, MS 39730-2710 | 2020-05-19 |
| 1124648860 | Orthospine Dme, LLC | Durable Medical Equipment & Medical Supplies | 5315 Old Highway 11 Ste 4, Hattiesburg, MS 39402-6224 | 2020-04-23 |
| 1891325015 | Joseph Anthony Coursey | Durable Medical Equipment & Medical Supplies | 2111 28th St Ste C1, Gulfport, MS 39501-4934 | 2020-01-16 |
| 1831732593 | Teketra Evans | Durable Medical Equipment & Medical Supplies | 39 E Zion Rd, Wiggins, MS 39577-5000 | 2019-10-24 |
| 1619535515 | Magnolia Drugs Inc | Durable Medical Equipment & Medical Supplies | 1757 Highway 178 West, Suite B, Myrtle, MS 38650 | 2019-06-05 |
| 1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1881150324 | Coastal Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 3417 Hardy St, Hattiesburg, MS 39402-1502 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on PREMIER MEDICAL EQUIPMENT & SUPPLIES, 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.