CENTURION DISTRIBUTORS, LLC (NPI# 1750749354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750749354 |
Entity Type | Organization |
Organization Name | CENTURION DISTRIBUTORS, LLC |
Practice Address |
2600 Whitney Dr Midland TX 79705-6243 |
Practice Telephone | 5059334764 |
Practice Fax Number | 4322471101 |
Mailing Telephone | 5059334764 |
Mailing Fax Number | 4322471101 |
Enumeration Date | 2016-02-10 |
Last Update Date | 2016-02-10 |
Authorized Official Name | TANNER HAMM (OWNER) |
Authorized Official Telephone | 5059334764 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
Street Address |
2600 WHITNEY DR |
City | MIDLAND |
State | TX |
Zip Code | 79705-6243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154949915 | Diyora Amanova | Dentist | 2817-b, Loop 250 Frontage Rd, Midland, TX 79705 | 2020-07-08 |
1821610205 | Winners Circle Group of Tx | Community/Behavioral Health | 4405 N Garfield Street, Apt. 1005, Midland, TX 79705 | 2020-05-08 |
1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
1689229429 | Michelle Ray | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Science Center, 3600 N. Garfield, Midland, TX 79705 | 2019-08-08 |
1649825001 | Marlene Cereceres | Student in an Organized Health Care Education/Training Program | 3600 N. Garfield, Midland, TX 79705 | 2019-08-02 |
1194370627 | Brianne Marie Hanson | Student in an Organized Health Care Education/Training Program | 3600 North Garfield, Midland, TX 79705 | 2019-08-01 |
1841844685 | Stephanie Ann Johnson | Student in an Organized Health Care Education/Training Program | Texas Tech University Health Sciences Center, 3600 N. Garfield, Midland, TX 79705 | 2019-07-30 |
1013560093 | Andrea Silva | Licensed Practical Nurse | 2903 Ncr 1140, Midland, TX 79705 | 2019-07-19 |
1417509332 | Ananya Das | Physician Assistant | 3600 North Garfield St., Midland, TX 79705 | 2019-07-11 |
1023571767 | Wecare Tlc- Pioneer Mco | Clinic/Center | 3617 N Big Sping, Midland, TX 79705 | 2019-04-10 |
Find all providers in zip 79705 |
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 |
---|---|---|---|---|
1972126126 | Boss and Rorvik Family Dental, Pllc | Durable Medical Equipment & Medical Supplies | 1504 Harcrest Dr Ste 2, Midland, MI 48640-4717 | 2020-05-22 |
1205348075 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 3200 N Big Spring St, Midland, TX 79705-5315 | 2017-11-01 |
1255783460 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4401 Andrews Hwy, Midland, TX 79703-4714 | 2016-07-12 |
1699137208 | Brian Reno | Durable Medical Equipment & Medical Supplies | 311 E Chapel Ln, Midland, MI 48642-7021 | 2016-03-23 |
1902287410 | Misty Bowden | Durable Medical Equipment & Medical Supplies | 4010 Roosevelt Dr, Midland, TX 79703-6127 | 2015-06-11 |
1902292881 | Woodward Detroit Cvs LLC | Durable Medical Equipment & Medical Supplies | 1015 S Saginaw Rd, Midland, MI 48640-5642 | 2015-04-08 |
1659776342 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5315 Briarwood Ave, Midland, TX 79707 | 2014-10-24 |
1295134039 | Midland Dme, LLC | Durable Medical Equipment & Medical Supplies | 1913 Heritage Blvd Ste A, Midland, TX 79707-9752 | 2014-08-18 |
1942580972 | Pioneer Pharmacy Consulting LLC | Durable Medical Equipment & Medical Supplies | 1120 Eastman Ave, Midland, MI 48640-4215 | 2011-08-22 |
1598070013 | Reardon Residential Services, Inc | Durable Medical Equipment & Medical Supplies | 5114 Cedar Lane Farm Rd, Midland, VA 22728 | 2010-08-09 |
Find all providers in MIDLAND |
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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.