FREEDOM MEDICAL,LLC (NPI# 1679761225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679761225 |
| Entity Type | Organization |
| Organization Name | FREEDOM MEDICAL,LLC |
| Practice Address |
2236 Heimstead Rd Eau Claire WI 54703-4953 |
| Practice Telephone | 7158309600 |
| Practice Fax Number | 7158338079 |
| Mailing Telephone | 7158309600 |
| Mailing Fax Number | 7158338079 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | MS. PAULINE R PERRY (OWNER) |
| Authorized Official Telephone | 7158306900 |
| Authorized Official Credential | OTR/ATP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1679761225 | 05 |
| Street Address |
2236 HEIMSTEAD RD |
| City | EAU CLAIRE |
| State | WI |
| Zip Code | 54703-4953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356536825 | Pauline R Perry | Occupational Therapist | 2236 Heimstead Rd, Eau Claire, WI 54703-4953 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535929 | Eclipse Counseling LLC | Clinic/Center | 1136 Barron St, Eau Claire, WI 54703 | 2020-07-17 |
| 1982261012 | Melissa Mae Jenneman | Social Worker | 306 Broadway Street, Eau Claire, WI 54703 | 2019-05-23 |
| 1396217014 | Jennifer Grace Joos | Case Manager/Care Coordinator | 2523 Diane Ln, Eau Claire, WI 54703 | 2018-12-19 |
| 1811437346 | Phillip Dolan | Specialist/Technologist | 2801 E Princeton Ave, Eau Claire, WI 54703 | 2017-03-02 |
| 1467830463 | Ryan Behnke | Specialist/Technologist | 725 Hudson St., Eau Claire, WI 54703 | 2015-05-11 |
| 1366737769 | Eric D. Carlson | Dentist | 1020 Menomonie Street, Eau Claire, WI 54703 | 2011-06-14 |
| 1669782587 | Jennifer Jean Andersen | Registered Nurse | 2027 West Ridge Dr., Eau Claire, WI 54703 | 2010-10-13 |
| 1407011257 | Scott R Lau | Hearing Instrument Specialist | 1802 Galloway Street, Eau Claire, WI 54703 | 2008-07-22 |
| 1134316615 | Robert G Grayson | Dentist | 2725 Morningside Dr, Eau Claire, WI 54703 | 2007-09-28 |
| 1689880858 | Okie Earl Allen | Hearing Instrument Specialist | 616 Lamplighter Ct, Eau Claire, WI 54703 | 2007-05-15 |
| Find all providers in zip 54703 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740543768 | Naturally Impressive, LLC | Durable Medical Equipment & Medical Supplies | 522 Union St, Eau Claire, WI 54703-5353 | 2012-06-25 |
| 1134530017 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 2601 Morningside Dr, Eau Claire, WI 54703-3644 | 2014-05-14 |
| 1659796944 | Lifetime Dental Care Sc | Durable Medical Equipment & Medical Supplies | 822 S Hastings Way, Eau Claire, WI 54701-3426 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402401 | Retinal Recovery LLC | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr, Oak Creek, WI 53154-4128 | 2020-06-18 |
| 1811512437 | Stuart Kuntzelman | Durable Medical Equipment & Medical Supplies | W2678 Town Center Rd, Juda, WI 53550-9565 | 2020-06-09 |
| 1487289716 | Hale Healthcare Products & Services LLC | Durable Medical Equipment & Medical Supplies | 2441 W Monroe St, Milwaukee, WI 53206-1063 | 2020-03-06 |
| 1801429121 | Advent Dme LLC | Durable Medical Equipment & Medical Supplies | 8500 75th St Ste 101, Kenosha, WI 53142-8213 | 2020-02-14 |
| 1619519923 | Baby Express Wellness Center | Durable Medical Equipment & Medical Supplies | 2913 Durand Ave, Racine, WI 53403-3969 | 2019-10-09 |
| 1184288896 | Thomas Carl Jonson | Durable Medical Equipment & Medical Supplies | 9036 S Carollton Dr., Oak Creek, WI 53154 | 2019-04-29 |
| 1164986717 | Rxlink Medical | Durable Medical Equipment & Medical Supplies | N922 Tower View Dr Ste 202, Greenville, WI 54942 | 2019-01-29 |
| 1225592199 | Lisa R Wenger | Durable Medical Equipment & Medical Supplies | W244n4850 Swan Rd, Pewaukee, WI 53072-1402 | 2019-01-24 |
| 1164992194 | Konrad Joeseph Haase | Durable Medical Equipment & Medical Supplies | 3153 Rudolph Dr, Racine, WI 53406-1548 | 2018-12-03 |
| 1720555196 | Facedown Rental, LLC | Durable Medical Equipment & Medical Supplies | W188n11770 Maple Rd # Door4, Germantown, WI 53022-2410 | 2018-10-24 |
| Find all providers with the same taxonomy | ||||
| City | EAU CLAIRE |
| Zip Code | 54703 |
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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.