NATIONAL MED SOURCE (NPI# 1730229253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730229253 |
| Entity Type | Organization |
| Organization Name | NATIONAL MED SOURCE |
| Practice Address |
1726 Memorial Highway Suite B Union Grove NC 28689-0103 |
| Mailing Address |
Po Box 103 Union Grove NC 28689-0103 |
| Practice Telephone | 7045394445 |
| Mailing Telephone | 7045394445 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ETHEL R BRADSHAW (SECRETARY) |
| Authorized Official Telephone | 7045394445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 00766 | NC | Suppliers |
| Street Address |
1726 MEMORIAL HIGHWAY SUITE B |
| City | UNION GROVE |
| State | NC |
| Zip Code | 28689-0103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834165 | Rachel Gatz | Speech-Language Pathologist | 1005 Union Grove Rd, Union Grove, NC 28689 | 2019-10-30 |
| 1043437221 | Timothy R Burgiss | Dentist | 951 West Memorial Highway, Tri County Medical Park, Union Grove, NC 28689 | 2007-04-19 |
| 1295062487 | Max D. Bradshaw | Orthotic Fitter | 1892 West Memorial Hwy., Union Grove, NC 28689-9049 | 2009-11-09 |
| 1265502439 | National Med Source LLC | Durable Medical Equipment & Medical Supplies | 1892 West Memorial Hwy, Union Grove, NC 28689-9049 | 2006-11-08 |
| 1750618948 | Ethel Ruth Bradshaw | Orthotic Fitter | 1892 West Memorial Hwy, Union Grove, NC 28689-9049 | 2009-11-09 |
| 1740517937 | David R Bradshaw | Orthotic Fitter | 1892 West Memorial Hwy., Union Grove, NC 28689-9049 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834165 | Rachel Gatz | Speech-Language Pathologist | 1005 Union Grove Rd, Union Grove, NC 28689 | 2019-10-30 |
| 1770134843 | Cory Harpe | Technician | 23338 18th St., Union Grove, WI 53182 | 2019-09-20 |
| 1316409501 | Valerie Buisse | Counselor | 4330 Conifer Ct, Union Grove, WI 53182-9751 | 2019-04-05 |
| 1912484494 | Dustin Andrew Svendsen | Homemaker | 1344 Jean St, Union Grove, WI 53182-1402 | 2018-07-26 |
| 1477089415 | Mary Lenz | Student in an Organized Health Care Education/Training Program | 951 Main St Ste 100, Union Grove, WI 53182-1074 | 2017-05-11 |
| 1962959254 | Linda Ratkovec | Licensed Practical Nurse | 21437 Northcape St, Union Grove, WI 53182-9691 | 2016-09-05 |
| 1407209109 | Shepherds Baptist Ministries Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1805 15th Ave, Union Grove, WI 53182-1527 | 2016-07-18 |
| 1528414604 | Allison Epping | Specialist/Technologist | 4214 67th Dr, Union Grove, WI 53182-9405 | 2016-05-09 |
| 1770956211 | Melissa Malave | Psychologist | 21425 Spring St # A, Psychological Services, Union Grove, WI 53182-9707 | 2015-11-05 |
| 1477925121 | Michael Joseph Gillen | Psychologist | 21425 Spring Street, Union Grove Va Clinic, Union Grove, WI 53182 | 2015-10-21 |
| Find all providers in UNION GROVE | ||||
| 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 |
|---|---|---|---|---|
| 1265502439 | National Med Source LLC | Durable Medical Equipment & Medical Supplies | 1892 West Memorial Hwy, Union Grove, NC 28689-9049 | 2006-11-08 |
| 1245440601 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 4320 67th Dr, Union Grove, WI 53182-9338 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225864 | Tommy Mcneill | Durable Medical Equipment & Medical Supplies | 3602 Laurel Creek Way, Durham, NC 27712-2982 | 2020-11-08 |
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1306445648 | Good Hope Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3601 Capital Blvd Ste 101, Raleigh, NC 27604-3397 | 2020-10-19 |
| 1548876006 | Classified Group Ltd | Durable Medical Equipment & Medical Supplies | 520 Lake Holding St, Wake Forest, NC 27587-6856 | 2020-09-21 |
| 1518573468 | Joemax Healthcare Services LLC | Durable Medical Equipment & Medical Supplies | 3535 S Wilmington St Ste 208, Raleigh, NC 27603-3512 | 2020-09-16 |
| 1023623303 | Vanity Allure X Ylh Beautique Salon Suites LLC | Durable Medical Equipment & Medical Supplies | 405 Blandwood Ave, Greensboro, NC 27401-2705 | 2020-09-13 |
| 1356954556 | Ramona Strong | Durable Medical Equipment & Medical Supplies | 104 Lynden Ln, New Bern, NC 28560-8552 | 2020-08-26 |
| 1104438506 | Murphy Medical Supply | Durable Medical Equipment & Medical Supplies | 12520 Capital Blvd Ste 401-114, Wake Forest, NC 27587-4659 | 2020-08-18 |
| 1538779590 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 24 Publix Drive, Clayton, NC 27527 | 2020-08-05 |
| 1861001133 | Emergeortho, P.a. | Durable Medical Equipment & Medical Supplies | 6019 Oleander Dr Ste 200, Wilmington, NC 28403-4813 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | UNION GROVE |
| Zip Code | 28689 |
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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.