SCOOTER STORE-JACKSON LLC (NPI# 1912924986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912924986 |
| Entity Type | Organization |
| Organization Name | SCOOTER STORE-JACKSON LLC |
| Other Organization Name | THE SCOOTER STORE/ALLIANCE SEATING & MOBILITY |
| Practice Address |
125 Paul Truitt Ln Pearl MS 39208-4073 |
| Mailing Address |
Po Box 310709 New Braunfels TX 78131-0709 |
| Practice Telephone | 6019325177 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2013-08-09 |
| Authorized Official Name | JASON CONE (GENERAL COUNSEL & SECRETARY) |
| Authorized Official Telephone | 8306274433 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE SCOOTER STORE - USA, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1626899 | 05 | |
| MS | 00441005 | 05 |
| Other Name | Type Code |
|---|---|
| The SCOOTER Store/Alliance Seating & Mobility | Doing Business As Name - Organization |
| Street Address |
125 PAUL TRUITT LN |
| City | PEARL |
| State | MS |
| Zip Code | 39208-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299875 | Catherine Leigh Wilson | Nurse Practitioner | 3794 Ms-468, Pearl, MS 39208 | 2020-09-15 |
| 1548896301 | Rochelle Vanity Cork | Nurse Practitioner | 4635 Us-80, Pearl, MS 39208 | 2020-03-12 |
| 1528600343 | Kelsey D Nowell | Physical Therapy Assistant | 3823 Highway 80 East Suite 1100, Pearl, MS 39208 | 2019-10-14 |
| 1740742329 | Jacksonbracey Health Care | Nurse Practitioner | 4490 Us-80, Pearl, MS 39208 | 2019-04-03 |
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1003273897 | Xcel Rehab, Inc. | Clinic/Center | 209 Riverwind East, Suite B, Pearl, MS 39208 | 2016-01-25 |
| 1487035044 | Christopher Rogers | Physical Therapy Assistant | 209 B Riverwind East, Pearl, MS 39208 | 2015-06-09 |
| 1417366725 | Pearl River Dental, Pllc | Dentist | 209 Riverwind East Dr, Pearl, MS 39208 | 2014-08-12 |
| 1942614219 | Adams Home Care | Skilled Nursing Facility | 225 Moore St, Pearl, MS 39208 | 2014-06-16 |
| 1437589801 | Leo Easley II | Nurse Practitioner | 3794 Hwy 468, Pearl, MS 39208 | 2013-11-20 |
| Find all providers in zip 39208 | ||||
| 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 |
|---|---|---|---|---|
| 1720482425 | Gary Simpson | Durable Medical Equipment & Medical Supplies | 555 Oak Ridge Way, Pearl, MS 39208-8038 | 2014-10-09 |
| 1689980948 | Benemed Holdings, Inc. | Durable Medical Equipment & Medical Supplies | 5006 Highway 80 E Ste B, Pearl, MS 39208-4224 | 2010-08-25 |
| 1285868653 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 90 Bass Pro Dr, Pearl, MS 39208-9242 | 2009-05-13 |
| 1306929922 | Super D Drugs Acquisition Co. | Durable Medical Equipment & Medical Supplies | 3012 Highway 80 E, Pearl, MS 39208-3497 | 2006-10-24 |
| 1194830182 | Midtown Investments LLC | Durable Medical Equipment & Medical Supplies | 3023 Hwy 80 E, Suite A, Pearl, MS 39208-3428 | 2006-08-20 |
| 1376558536 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3189 Highway 80 E, Pearl, MS 39208-3503 | 2006-07-29 |
| 1548287956 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5520 Highway 80 E, Pearl, MS 39208-8926 | 2006-07-16 |
| 1356375737 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 140 Business Center Parkway, Suite A, Pearl, MS 39208 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1720605215 | M&s Medical | Durable Medical Equipment & Medical Supplies | 181 Highway 334, Oxford, MS 38655-9402 | 2020-06-30 |
| 1972126407 | Reliant Home Medical Supplies and Equipment LLC | Durable Medical Equipment & Medical Supplies | 134 E Commerce St, Aberdeen, MS 39730-2710 | 2020-05-19 |
| 1124648860 | Orthospine Dme, LLC | Durable Medical Equipment & Medical Supplies | 5315 Old Highway 11 Ste 4, Hattiesburg, MS 39402-6224 | 2020-04-23 |
| 1891325015 | Joseph Anthony Coursey | Durable Medical Equipment & Medical Supplies | 2111 28th St Ste C1, Gulfport, MS 39501-4934 | 2020-01-16 |
| 1831732593 | Teketra Evans | Durable Medical Equipment & Medical Supplies | 39 E Zion Rd, Wiggins, MS 39577-5000 | 2019-10-24 |
| 1619535515 | Magnolia Drugs Inc | Durable Medical Equipment & Medical Supplies | 1757 Highway 178 West, Suite B, Myrtle, MS 38650 | 2019-06-05 |
| 1952864266 | Roy C Patton | Durable Medical Equipment & Medical Supplies | 305 Clinton Blvd, Clinton, MS 39056-5217 | 2019-04-12 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1881150324 | Coastal Pharmacy Services LLC | Durable Medical Equipment & Medical Supplies | 3417 Hardy St, Hattiesburg, MS 39402-1502 | 2019-02-20 |
| 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.