ACTIVE MEDICAL SUPPLIES, INC (NPI# 1790833465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790833465 |
| Entity Type | Organization |
| Organization Name | ACTIVE MEDICAL SUPPLIES, INC |
| Practice Address |
2413 Buckingham Sq #315 Urbandale IA 50322-4522 |
| Practice Telephone | 5157797702 |
| Practice Fax Number | 5152859247 |
| Mailing Telephone | 5157797702 |
| Mailing Fax Number | 5152859247 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2009-03-02 |
| Authorized Official Name | MR. LES CHALFIN (PRESIDENT) |
| Authorized Official Telephone | 5152569006 |
| Authorized Official Credential | C.-PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
2413 BUCKINGHAM SQ #315 |
| City | URBANDALE |
| State | IA |
| Zip Code | 50322-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598278434 | Mary Melissa Buchanan | Hospice Care, Community Based | 6101 Goodman Dr, Urbandale, IA 50322 | 2017-11-14 |
| 1932629110 | Kelsey Coaldrake | Speech-Language Pathologist | 2570 106th St Ste E, Urbandale, IA 50322 | 2017-06-20 |
| 1861940207 | Jessalynn Bradley | Home Health Aide | 8704 Meredith Dr., Apt. 208, Urbandale, IA 50322 | 2016-09-14 |
| 1083086862 | Iowa Dermatology Clinic, Plc | Dermatology | 3729 86th St, Urbandale, IA 50322 | 2015-10-20 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1114303484 | Monique I Elgersma | Marriage & Family Therapist | 3829 71st St Ste A, Urbandale, IA 50322 | 2015-08-10 |
| 1821437922 | Maggie Lynn Leavens | Physical Therapy Assistant | 4614 84th Street, Urbandale, IA 50322 | 2013-06-21 |
| 1225378581 | Nicholas David Burton Lantz | Physical Therapy Assistant | 4614 Nw 84th Street, Urbandale, IA 50322 | 2013-02-25 |
| 1750645826 | Joseph Horn Thompson | Pharmacist | 9616 Quail Ridge, Urbandale, IA 50322 | 2012-07-03 |
| 1437481827 | Community Support Advocates, LLC | Social Worker | 6000 Aurora Avenue, Suite B, Des Moines, IA 50322 | 2010-02-10 |
| Find all providers in zip 50322 | ||||
| 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 |
|---|---|---|---|---|
| 1023487683 | Dsm Sleep LLC | Durable Medical Equipment & Medical Supplies | 2828 104th St, Urbandale, IA 50322-3813 | 2015-09-24 |
| 1598134686 | Iowa Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 14201 Hickman Rd., Urbandale, IA 50322 | 2015-09-18 |
| 1669773529 | D. R. Respiratory Services | Durable Medical Equipment & Medical Supplies | 5911 Meredith Dr Ste D, Urbandale, IA 50322-1903 | 2010-11-09 |
| 1720252208 | Cjm Restoration, LLC | Durable Medical Equipment & Medical Supplies | 4153 120th St, Urbandale, IA 50323-2314 | 2008-04-16 |
| 1699806893 | Kinex Medical Company LLC | Durable Medical Equipment & Medical Supplies | 3115 99th St, Urbandale, IA 50322-3824 | 2007-03-08 |
| 1104991181 | Hill-rom Company, Inc | Durable Medical Equipment & Medical Supplies | 2765 99th St, Urbandale, IA 50322-3888 | 2006-11-22 |
| 1982779450 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 4454 Nw Urbandale Dr, Urbandale, IA 50322-7919 | 2006-11-21 |
| 1689680068 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4600 86th St, Urbandale, IA 50322-1026 | 2006-07-31 |
| 1578589347 | Scooter Store Des Moines LLC | Durable Medical Equipment & Medical Supplies | 3057 99th St, Urbandale, IA 50322-3895 | 2006-07-14 |
| 1659307197 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 8701 Douglas Ave, Urbandale, IA 50322-2200 | 2006-06-25 |
| Find all providers in URBANDALE | ||||
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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.