WESTERN HEALTHCARE IND INC (NPI# 1932140332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932140332 |
Entity Type | Organization |
Organization Name | WESTERN HEALTHCARE IND INC |
Other Organization Name | NORTHERN MEDICAL SUPPLY COMPANY |
Practice Address |
825 N State Highway 49-88 Jackson CA 95642-2041 |
Mailing Address |
825 N State Highway 49-88 P.o.box 608 Jackson CA 95642-2041 |
Practice Telephone | 2092237306 |
Practice Fax Number | 2092237309 |
Mailing Telephone | 2092237306 |
Mailing Fax Number | 2092237309 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2013-08-14 |
Authorized Official Name | MR. VINCENT LEROY DESTIGTER (CEO/OWNER) |
Authorized Official Telephone | 2092237306 |
Authorized Official Credential | RCP 9059 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
102453 | CA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | DME00219F | 05 |
Other Name | Type Code |
---|---|
northern medical supply company | Doing Business As Name - Organization |
Street Address |
825 N STATE HIGHWAY 49-88 |
City | JACKSON |
State | CA |
Zip Code | 95642-2041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
Find all providers in zip 95642 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
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1962862516 | Oak Medical,ltd | Durable Medical Equipment & Medical Supplies | 222 Pearl St, Jackson, OH 45640-1722 | 2016-02-24 |
1033535323 | Professional Respiratory Services | Durable Medical Equipment & Medical Supplies | 98 N Star Dr Ste B, Jackson, TN 38305-5684 | 2014-03-11 |
1144550872 | Direct Health Solutions, LLC | Durable Medical Equipment & Medical Supplies | 220 E Broadway St., 2g, Jackson, WY 83001 | 2009-12-31 |
1669612321 | A Plus Health Care LLC | Durable Medical Equipment & Medical Supplies | 4 Sunshine Way, Jackson, NJ 08527-3179 | 2009-02-20 |
1295999027 | Riverside Medical Inc | Durable Medical Equipment & Medical Supplies | 19 Northstar Drive, Ste # D, Jackson, TN 38305 | 2008-07-10 |
1225203847 | Dickson Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 117 N Conalco Dr, Jackson, TN 38301-3663 | 2008-04-24 |
1316165350 | A1 Healthcare | Durable Medical Equipment & Medical Supplies | 2570 Bailey Ave, Suite 1, Jackson, MS 39213-6905 | 2007-04-23 |
1609927250 | Friendly Home Health Equipment LLC | Durable Medical Equipment & Medical Supplies | 1421 E Michigan Ave, Jackson, MI 49202-3580 | 2007-01-12 |
Find all providers in JACKSON |
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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.