QUALITY MEDICAL SUPPLY AND EQUP (NPI# 1902912801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902912801 |
| Entity Type | Organization |
| Organization Name | QUALITY MEDICAL SUPPLY AND EQUP |
| Practice Address |
769 Main St Forest Park GA 30297-1421 |
| Practice Telephone | 4043621044 |
| Practice Fax Number | 4043621045 |
| Mailing Telephone | 4043621044 |
| Mailing Fax Number | 4043621045 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ENAM EFFIONU ENYONA (PRESIDENT) |
| Authorized Official Telephone | 4043621044 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
769 MAIN ST |
| City | FOREST PARK |
| State | GA |
| Zip Code | 30297-1421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548747173 | Ga Peach Medical Transportation, LLC | Ambulance | 5023 Highway 85, Forest Park, GA 30297 | 2018-07-26 |
| 1871940437 | Crystal Harrison | Counselor | 4659 Ruby Ln, Forest Park, GA 30297 | 2016-05-24 |
| 1467807156 | Naundria Jackson | Nurse Practitioner | Apmc, Forest Park, GA 30297 | 2016-04-29 |
| 1891156089 | Gentle Care Medical Trans LLC | Ambulance | 530 Forest Parkway Suite B, Forest Park, GA 30297 | 2016-03-15 |
| 1811318835 | Kim Mckinney | Case Manager/Care Coordinator | 1104 South Parkwood Drive, Forest Park, GA 30297 | 2013-12-17 |
| 1215361910 | Tiffany Nadine Adams | Specialist | 228 Morrow Rd 18h, Forest Park, GA 30297 | 2013-08-29 |
| 1851663124 | Daffodil Pediatrics and Family Medicine | Pediatrics | 4905 Courtney Drive, Forest Park, GA 30297 | 2012-02-02 |
| 1093093759 | Truliant Health Systems | Community/Behavioral Health | 526 Forest Parkway Ste D, Forest Park, GA 30297 | 2011-07-29 |
| 1811134133 | Sharonda Renee Forte | Orthopaedic Surgery | 4940 Governors Park Drive, Forest Park, GA 30297 | 2009-01-08 |
| 1215173737 | Comfort Personal Care Service | Assisted Living Facility | 5530 Old Dixie Highway, D-9, Forest Park, GA 30297 | 2009-01-06 |
| Find all providers in zip 30297 | ||||
| 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 |
|---|---|---|---|---|
| 1942692348 | Medicor Healthcare, Inc | Durable Medical Equipment & Medical Supplies | 5015 Ga Highway 85, Forest Park, GA 30297-2431 | 2015-02-23 |
| 1508916248 | Christians Medical Equipment & Supplies Inc. | Durable Medical Equipment & Medical Supplies | 1057 Main St, Suite C, Forest Park, GA 30297-1482 | 2007-01-12 |
| 1053410381 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 833 Forest Parkway, Forest Park, GA 30297-2210 | 2006-09-22 |
| 1821192758 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1029 Forest Pkwy, Forest Park, GA 30297-2350 | 2006-09-12 |
| 1528073798 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7200 Roosevelt Rd, Forest Park, IL 60130-2441 | 2006-07-29 |
| 1194743617 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1300 Des Plaines Ave, Forest Park, IL 60130-2507 | 2006-07-17 |
| 1710928684 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 7216 Circle Ave, Forest Park, IL 60130-1113 | 2006-06-09 |
| 1609418516 | Berkshire Nursing & Rehab Center, LLC | Durable Medical Equipment & Medical Supplies | 8200 Roosevelt Rd, Forest Park, IL 60130-2528 | 2019-10-11 |
| 1093239584 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 833 Forest Pkwy, Forest Park, GA 30297-2210 | 2017-07-27 |
| 1275982373 | Crisp & Associates IIi, LLC | Durable Medical Equipment & Medical Supplies | 1057 Main St, Suite C, Forest Park, GA 30297-1482 | 2016-06-09 |
| Find all providers in FOREST PARK | ||||
| City | FOREST PARK |
| Zip Code | 30297 |
Please comment or provide details below to improve the information on QUALITY MEDICAL SUPPLY AND EQUP.
| 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.