GRASSROOTS MEDICAL SUPPLY (NPI# 1750809836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750809836 |
| Entity Type | Organization |
| Organization Name | GRASSROOTS MEDICAL SUPPLY |
| Practice Address |
Nec Navajo Route 15 and 60 Suite #2 Winlsow AZ 86047 |
| Mailing Address |
28 N. Highway 77 Pmb 5105 Holbrook AZ 86025 |
| Practice Telephone | 9284215201 |
| Mailing Telephone | 9284215201 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Authorized Official Name | BRANDON MICHAEL LESTER (OWNER) |
| Authorized Official Telephone | 9284215201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
NEC NAVAJO ROUTE 15 AND 60 SUITE #2 |
| City | WINLSOW |
| State | AZ |
| Zip Code | 86047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097350 | Kalp Juthani | Student in an Organized Health Care Education/Training Program | 500 N Indiana Avenue, Winslow, AZ 86047 | 2020-03-11 |
| 1104461268 | Dental Innovations-winslow | Clinic/Center | 722 Mike's Pike Street, #101, Winslow, AZ 86047 | 2019-11-13 |
| 1417505611 | Association of Indigenous Pioneers, Incorporated (aipi) | Non-emergency Medical Transport (VAN) | Nec Navajo Route 15 & 60, Suite #2, Winslow, AZ 86047 | 2019-08-30 |
| 1790347573 | Wilfred Shirley | Counselor | 1/2 Mile Northeast Dilkon Bashas Store, Winslow, AZ 86047 | 2019-07-02 |
| 1871055624 | Mark Ashcraft | Student in an Organized Health Care Education/Training Program | Winslow Indian Health Care Center, 500 North Indiana Ave, Winslow, AZ 86047 | 2019-04-02 |
| 1568928521 | Winslow Indian Health Care Center, Inc | Pharmacy | 1.5 Mile N. Leupp Chapter House, Leupp, AZ 86047 | 2019-02-14 |
| 1659837615 | Winslow Indian Health Care Center, Inc | Pharmacy | 3 Mls S. of Dilkon Chapter Hse., Dilkon, AZ 86047 | 2019-02-14 |
| 1538697396 | Janell K Dickson | Counselor | 1/4 Mile Ne of Bashas, Dilkon, AZ 86047 | 2017-05-24 |
| 1235599143 | Dennis Peters | Veterinarian | 4301 W Highway 66, Winslow, AZ 86047 | 2016-03-04 |
| 1932586674 | Aerocare Medical Transport | Ambulance | 722 W Mahoney St, Winslow, AZ 86047 | 2015-05-01 |
| Find all providers in zip 86047 | ||||
| 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 |
|---|---|---|---|---|
| 1649870411 | United Respiratory Services LLC | Durable Medical Equipment & Medical Supplies | 1275 E Florence Blvd Ste 104, Casa Grande, AZ 85122-4268 | 2020-10-29 |
| 1760080238 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3807 N 7th St Ste P, Phoenix, AZ 85014-5005 | 2020-10-15 |
| 1891302790 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 8630 E Via Venture, Ste 201, Scottsdale, AZ 85258 | 2020-09-25 |
| 1528675469 | Antelope Works, LLC | Durable Medical Equipment & Medical Supplies | 2601 N 3rd St Ste 200, Phoenix, AZ 85004-1145 | 2020-09-24 |
| 1679189765 | Vhs Outpatient Clinics, Inc. | Durable Medical Equipment & Medical Supplies | 3130 E Baseline Rd Ste 101, Mesa, AZ 85204-7290 | 2020-09-23 |
| 1336753540 | Smith's Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 4075 E Williams Field Rd, Gilbert, AZ 85295-1142 | 2020-09-04 |
| 1639782592 | Safe Hands LLC | Durable Medical Equipment & Medical Supplies | 920 W Chandler Blvd Ste 3, Chandler, AZ 85225-2526 | 2020-08-28 |
| 1366055642 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 463 S Lake Powell Blvd Ste P, Page, AZ 86040-0856 | 2020-08-26 |
| 1528678901 | Maurice Valeriano | Durable Medical Equipment & Medical Supplies | 505 W 8th Ave Ste 12a, Mesa, AZ 85210-3541 | 2020-07-31 |
| 1821607060 | Am Apnea and Tmj LLC | Durable Medical Equipment & Medical Supplies | 2303 N. 44thst., Suite 14-1008, Phoenix, AZ 85008 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
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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.