CENTER MEDICAL SUPPLY COMPANY INC (NPI# 1679633861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679633861 |
| Entity Type | Organization |
| Organization Name | CENTER MEDICAL SUPPLY COMPANY INC |
| Practice Address |
6224 Avon St Portage MI 49024-2632 |
| Practice Telephone | 2693813252 |
| Practice Fax Number | 2693811670 |
| Mailing Telephone | 2693813252 |
| Mailing Fax Number | 2693811670 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | MR. DAVID G STEVENS (PRESIDENT) |
| Authorized Official Telephone | 2693813252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 540C905570 | 01 |
| MI | 5026117 | 05 |
| Street Address |
6224 AVON ST |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1750943114 | V&a Bootery Inc | Durable Medical Equipment & Medical Supplies | 6292 S Westnedge Ave, Portage, MI 49002-2810 | 2019-07-05 |
| 1013476670 | Bronson At Home | Durable Medical Equipment & Medical Supplies | 7890 Oakland Dr, Portage, MI 49024-4936 | 2019-03-13 |
| 1497962427 | Otto Bock Healthcare Lp | Durable Medical Equipment & Medical Supplies | 1911 E Centre Ave, Portage, MI 49002-4415 | 2007-05-17 |
| 1699897835 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5933 S Westnedge Ave, Portage, MI 49002-1455 | 2007-04-06 |
| 1518009828 | Restorative Ideas & Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 5873 Us Highway 12, Suite B, Portage, IN 46368-1031 | 2007-02-13 |
| 1801942560 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 8850 Shaver Rd, Portage, MI 49024-6155 | 2007-01-26 |
| 1194888628 | Mastec Womens Boutique | Durable Medical Equipment & Medical Supplies | 524 E Milham Ave, Portage, MI 49002-1473 | 2006-12-18 |
| 1528157278 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 630 Main Street, Portage, PA 15946-1540 | 2006-10-12 |
| 1477662948 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 5003 South Westnedge Avenue, Portage, MI 49002-0401 | 2006-08-29 |
| 1821104902 | Hardings Galesburg Market Inc | Durable Medical Equipment & Medical Supplies | 3750 W Centre Ave, Portage, MI 49024-4630 | 2006-08-22 |
| Find all providers in PORTAGE | ||||
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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.