PRESTON MACBETH, INC. (NPI# 1902084965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902084965 |
Entity Type | Organization |
Organization Name | PRESTON MACBETH, INC. |
Other Organization Name | BROOSLIN SHOES |
Practice Address |
455 Sumner Ave Springfield MA 01108-2320 |
Practice Telephone | 4137320465 |
Practice Fax Number | 4137396214 |
Mailing Telephone | 4137320465 |
Mailing Fax Number | 4137396214 |
Enumeration Date | 2008-02-01 |
Last Update Date | 2008-02-01 |
Authorized Official Name | MS. AMY P MACBETH (PRESIDENT) |
Authorized Official Telephone | 4138835757 |
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 |
Other Name | Type Code |
---|---|
Brooslin Shoes | Doing Business As Name - Organization |
Street Address |
455 SUMNER AVE |
City | SPRINGFIELD |
State | MA |
Zip Code | 01108-2320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700256419 | Samantha Shirley | Specialist/Technologist | 6 Sumner Avenue, Apt 11, Springfield, MA 01108 | 2015-10-07 |
1073868543 | Caroline Alicia Bixby | Counselor | 95 Granby St, Springfield, MA 01108 | 2012-07-19 |
1659521508 | Heidi Walter | Counselor | 40 Eleanor Rd, Springfield, MA 01108 | 2008-09-29 |
1316154289 | Tamador S Gibreel | Counselor | 15 Lenox Street, Springfield, MA 01108 | 2007-05-17 |
1831219203 | Patricia Ann Langlitz | Massage Therapist | 80 Sumner Avenue, Springfield, MA 01108 | 2007-03-30 |
1548397920 | Bennett N Gaev | Psychiatry & Neurology | 167 Dwight Rd # 104, Longmeadow, MA 01108 | 2007-02-27 |
1841332145 | Emanuel Bonifale Brown | Counselor | 227 Mill Street, Springfield, MA 01108 | 2007-02-13 |
1639231863 | Robert Francis Vanvalkenburg | Dentist | 529 White St, Springfield, MA 01108 | 2006-12-14 |
1336214238 | Jeffrey Lee Lite | Dentist | 390 Sumner Ave, Springfield, MA 01108 | 2006-11-24 |
1043310477 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 615 621belmont Ave, Springfield, MA 01108 | 2006-09-25 |
Find all providers in zip 01108 |
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. |
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1649744467 | Mednav, LLC | Durable Medical Equipment & Medical Supplies | 53 Linden Ln, Springfield, IL 62712-8928 | 2019-01-15 |
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1700358827 | Darlan Medical Incorporated | Durable Medical Equipment & Medical Supplies | 7830 Backlick Rd Ste 100b, Springfield, VA 22150-2205 | 2018-12-31 |
1912475484 | Show Me Systems LLC | Durable Medical Equipment & Medical Supplies | 3755 N State Highway H, Springfield, MO 65803-7137 | 2018-11-02 |
1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
1720570799 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1150 N 5th St Ste B, Springfield, IL 62702-6366 | 2018-06-05 |
1386146405 | Slocum Orthopedics, PC | Durable Medical Equipment & Medical Supplies | 3377 Riverbend Dr Ste 300, Springfield, OR 97477-8804 | 2018-03-05 |
1326546045 | Howard Datz | Durable Medical Equipment & Medical Supplies | 6880 Commercial Dr # 38, Springfield, VA 22151-4201 | 2018-01-28 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01108 |
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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.