PATRIOT MEDICAL SUPPLIES INC (NPI# 1730230749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730230749 |
| Entity Type | Organization |
| Organization Name | PATRIOT MEDICAL SUPPLIES INC |
| Practice Address |
253 N Lincoln Ave Suite 100 Bridgeport OH 43912-1645 |
| Practice Telephone | 7406351605 |
| Practice Fax Number | 7406351605 |
| Mailing Telephone | 7406351605 |
| Mailing Fax Number | 7406351605 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MICHALLE JENDRUSIK (PRESIDENT) |
| Authorized Official Telephone | 7406351602 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | HMEL11103 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2536525 | 05 |
| Street Address |
253 N LINCOLN AVE SUITE 100 |
| City | BRIDGEPORT |
| State | OH |
| Zip Code | 43912-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568887305 | Interim Healthcare of Se Ohio Inc. | Home Health | 253 N Lincoln Ave, Bridgeport, OH 43912-1645 | 2014-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1427604339 | Tammy Sue Cox | Behavior Technician | 68583 Scott Street, Bridgeport, OH 43912 | 2019-08-15 |
| 1891056750 | Amy Snedeker | Intermediate Care Facility, Mental Illness | 68181 Neola Avenue, Bridgeport, OH 43912 | 2012-06-06 |
| 1790064111 | Tiffanie M Patton | Home Health Aide | 69395 Sunset Heights, Bridgeport, OH 43912 | 2011-08-16 |
| 1841415247 | Doris Ann Newman | Nurse's Aide | 56362 Berkley Avenue, Bridgeport, OH 43912 | 2007-04-13 |
| 1689732778 | Gerald C Booth | Chiropractor | 56104 National Road, Suite 112a, Bridgeport, OH 43912 | 2006-12-04 |
| 1578646808 | Fausto J Lazo | Family Medicine | 55741 National Rd, Bridgeport, OH 43912 | 2006-10-23 |
| 1225144108 | Riesbeck Food Markets, Inc. | Pharmacy | 56130 National Road, Bridgeport, OH 43912 | 2006-08-22 |
| 1487609558 | Keith A Poole | Family Medicine | 55741 National Road, Bridgeport, OH 43912 | 2006-05-24 |
| 1285605329 | Peter Eugene Perzanowski | Chiropractor | 300 Howard St, Ste 2, Bridgeport, OH 43912 | 2006-01-27 |
| Find all providers in zip 43912 | ||||
| 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 |
|---|---|---|---|---|
| 1467986455 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 300 Fairfield Ave, Ste 103, Bridgeport, CT 06604-4208 | 2017-04-17 |
| 1144643354 | Aperion Care Bridgeport LLC | Durable Medical Equipment & Medical Supplies | 900 Corporation St, Bridgeport, IL 62417-2206 | 2014-01-23 |
| 1871838748 | Hancock Pharmacy IIi, LLC | Durable Medical Equipment & Medical Supplies | 3768 Main St, Bridgeport, CT 06606-3610 | 2012-12-04 |
| 1609179860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1240 W Main St, Bridgeport, WV 26330 | 2010-12-09 |
| 1154645356 | Hancock Pharmacy II LLC | Durable Medical Equipment & Medical Supplies | 1020 Fairfield Ave, Bridgeport, CT 06605-1187 | 2010-03-17 |
| 1609109842 | Main Street Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1005 Main St # 1j, Bridgeport, CT 06604-4221 | 2009-09-04 |
| 1750556056 | James E Volk Inc | Durable Medical Equipment & Medical Supplies | 873 National Rd, Bridgeport, OH 43912-1464 | 2008-04-28 |
| 1487852620 | Bujalo LLC | Durable Medical Equipment & Medical Supplies | 64 Woodmont Ave, Bridgeport, CT 06606-2709 | 2007-07-10 |
| 1588734941 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 45 Professional Pl Ste 101, Bridgeport, WV 26330-1788 | 2006-11-09 |
| 1619074010 | Bridgeport Chemists Inc | Durable Medical Equipment & Medical Supplies | 1407 Fairfield Ave, Bridgeport, CT 06605-1928 | 2006-09-20 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 43912 |
Please comment or provide details below to improve the information on PATRIOT MEDICAL SUPPLIES INC.
| 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.