MAGNOLIAS POST-MASTECTOMY BOUTIQUE LLC (NPI# 1710129648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710129648 |
| Entity Type | Organization |
| Organization Name | MAGNOLIAS POST-MASTECTOMY BOUTIQUE LLC |
| Practice Address |
311 W 36th St Jasper IN 47546-9521 |
| Mailing Address |
625 S State Road 67 Mooresville IN 46158-2797 |
| Practice Telephone | 8124811122 |
| Mailing Telephone | 3178313220 |
| Mailing Fax Number | 3178313321 |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |
| Authorized Official Name | CHERRYL A JEDELE (SINGLE MEMBER / OWNER) |
| Authorized Official Telephone | 3178313220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720229859 | Magnolias Post-mastectomy Boutique LLC | Durable Medical Equipment & Medical Supplies | 625 S State Road 67, Mooresville, IN 46158-2797 | 2009-03-19 |
| Street Address |
311 W 36TH ST |
| City | JASPER |
| State | IN |
| Zip Code | 47546-9521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497303572 | Marissa L Brosmer | Registered Nurse | 440 Scott Rolen Drive, Jasper, IN 47546 | 2019-08-30 |
| 1154887040 | Jesc LLC | Clinic/Center | 647 West Second Street Suite A, Jasper, IN 47546 | 2019-02-15 |
| 1427384858 | Therapro LLC | Clinic/Center | 306 1/2 Main Street, Jasper, IN 47546 | 2009-10-20 |
| 1255459780 | Billy Lee Berry | Counselor | 332 3rd Ave, Jasper, IN 47546 | 2007-03-26 |
| 1285776294 | Gregory K. Gordon | Optometrist | 471 Us 231 S, Jasper, IN 47546 | 2007-02-13 |
| 1902951312 | Urology Specialists PC | Urology | 1950 St Charles Street, Suite 3, Jasper, IN 47546 | 2007-01-24 |
| 1568548501 | Ralph E Mehling | Pharmacist | #435 Us 231 S, Jasper, IN 47546 | 2006-10-31 |
| 1962585430 | Heart To Heart Hospice of Southwest Indiana LLC | Hospice Care, Community Based | 415 E 6th St, Jasper, IN 47546 | 2006-10-20 |
| 1245347137 | Roy Elliott Cecchi | Obstetrics & Gynecology | 613 Dorbett Street, Jasper, IN 47546 | 2006-08-24 |
| 1093828790 | Sleep Management Institute LLC | Internal Medicine | 3157 Villa Way, Jasper, IN 47546 | 2006-08-16 |
| Find all providers in zip 47546 | ||||
| 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 |
|---|---|---|---|---|
| 1861044216 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 480 Eversman Dr Rm D105, Jasper, IN 47546-3548 | 2019-07-15 |
| 1437685195 | Jasper Express Care Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4330 Highway 78 E Ste 109a, Jasper, AL 35501-8955 | 2017-05-02 |
| 1306146543 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3561 Newton St, Jasper, IN 47546-1051 | 2010-10-21 |
| 1427360841 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1100 Old Philadelphia Rd, Jasper, GA 30143-4045 | 2010-07-14 |
| 1093049793 | Precision Cpap, Inc. | Durable Medical Equipment & Medical Supplies | 3604 Highway 78 E, Jasper, AL 35501-8909 | 2009-09-28 |
| 1023252582 | Premier Medical Solutions | Durable Medical Equipment & Medical Supplies | 410 18th St W, Jasper, AL 35501-5346 | 2009-04-28 |
| 1891939633 | Ladies Health Boutique, Inc | Durable Medical Equipment & Medical Supplies | 3608 Highway 78 E, Jasper, AL 35501-8909 | 2009-04-23 |
| 1902074925 | Beaty Drug Company Inc | Durable Medical Equipment & Medical Supplies | 5558 Curry Hwy, Ste 9, Jasper, AL 35503-5845 | 2008-02-12 |
| 1639350903 | Barbara Reece | Durable Medical Equipment & Medical Supplies | 246 Cagle Branch Rd, Jasper, GA 30143 | 2007-11-15 |
| 1861513665 | Hometown Care | Durable Medical Equipment & Medical Supplies | 107 Hatley Street, Jasper, FL 32052 | 2007-04-02 |
| Find all providers in JASPER | ||||
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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.