FIVE STAR MEDICAL SUPPLIES, LLC (NPI# 1720146996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720146996 |
| Entity Type | Organization |
| Organization Name | FIVE STAR MEDICAL SUPPLIES, LLC |
| Practice Address |
1004 State St Suite C Bettendorf IA 52722-4856 |
| Practice Telephone | 5633321334 |
| Practice Fax Number | 5633321359 |
| Mailing Telephone | 5633321334 |
| Mailing Fax Number | 5633321359 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | MR. PATRICK M ANDERSON (PRESIDENT) |
| Authorized Official Telephone | 5633321334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 182038180 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 336664976001 | 05 | |
| IL | BLUE CROSS BLUE SHIELD | 001596360 | 01 |
| IA | BLUE CROSS BLUE SHIELD | 20064 | 01 |
| IA | 0417774 | 05 |
| Street Address |
1004 STATE ST SUITE C |
| City | BETTENDORF |
| State | IA |
| Zip Code | 52722-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831205525 | Teresa L Coon | Family Medicine | 1004 State St, Bettendorf, IA 52722-4856 | 2006-08-22 |
| 1861755878 | Anthony W Woolever | Chiropractor | 1004 State St, Ste C, Bettendorf, IA 52722-4856 | 2012-06-25 |
| 1801941349 | State Street Women's Health Center | Family Medicine | 1004 State St, Bettendorf, IA 52722-4856 | 2007-01-24 |
| 1487760187 | Regina Charlotte Bollaert | Nurse Practitioner | 1004 State St, Bettendorf, IA 52722-4856 | 2006-08-23 |
| 1700992401 | Susan Kaye Balciulis | Family Medicine | 1004 State St, Bettendorf, IA 52722-4856 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1558873315 | Erin M Kohrt | Speech-Language Pathologist | 2500 Grant Street, Bettendorf, IA 52722 | 2017-11-01 |
| 1437680295 | Holli Christine Martin | Chiropractor | 3048 Victoria St., Bettendorf, IA 52722 | 2017-03-23 |
| 1598219552 | Alyssa Renee Matz | Counselor | 2435 Kimberly Rd Ste 96, Bettendorf, IA 52722 | 2016-08-08 |
| 1144625021 | Athletico Ltd | Physical Therapist | 3252 Ridge Point, Bettendorf, IA 52722 | 2014-11-04 |
| 1609282862 | Katherine L Browne | Nurse Practitioner | 1351 Kimberly Rd Ste 100, Bettendorf, IA 52722 | 2014-07-09 |
| 1316357494 | Kayla Leigh Ehrman | Family Medicine | 2535 Maplecrest Rd Ste 16, Bettendorf, IA 52722 | 2014-04-29 |
| 1043648454 | Duane Anthony Halbur Jr. | Counselor | 2420 Salem Ct, Bettendorf, IA 52722 | 2013-10-22 |
| 1376881185 | Christopher D Murphy | Physical Therapist | 2300 53rd Ave Ll02, Bettendorf, IA 52722 | 2013-01-29 |
| 1326386574 | Kelly C Harry | Occupational Therapist | 3470 Utica Ridge Road, Suite 4, Bettendorf, IA 52722 | 2013-01-23 |
| Find all providers in zip 52722 | ||||
| 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 |
|---|---|---|---|---|
| 1841757655 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 2300 53rd Ave Ste Ll03, Bettendorf, IA 52722-7565 | 2019-02-28 |
| 1083855100 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 2311 Grant St, Bettendorf, IA 52722-5023 | 2009-03-19 |
| 1023024429 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3425 Middle Rd, Bettendorf, IA 52722-3404 | 2006-07-31 |
| 1376558684 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 830 Middle Rd, Bettendorf, IA 52722-4101 | 2006-07-29 |
| 1154350833 | Trinity Health Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4500 Utica Ridge Road, Bettendorf, IA 52722-1641 | 2006-07-03 |
| 1558397091 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 4480 Utica Ridge Road, Suite 2230, Bettendorf, IA 52722-1644 | 2006-06-25 |
| 1679089809 | Unitypoint At Home | Durable Medical Equipment & Medical Supplies | 4500 Utica Ridge Rd, Bettendorf, IA 52722-1626 | 2017-12-26 |
| 1033588223 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4505 Utica Ridge Rd, Bettendorf, IA 52722-1641 | 2015-09-18 |
| 1730529280 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 3415 53rd Ave, Bettendorf, IA 52722-6976 | 2013-06-28 |
| 1306908728 | Ora Orthopedics PC | Durable Medical Equipment & Medical Supplies | 2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7547 | 2006-12-14 |
| Find all providers in BETTENDORF | ||||
| City | BETTENDORF |
| Zip Code | 52722 |
Please comment or provide details below to improve the information on FIVE STAR MEDICAL SUPPLIES, LLC.
| 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.