EDGE MEDICAL SERVICES (NPI# 1962953323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962953323 |
| Entity Type | Organization |
| Organization Name | EDGE MEDICAL SERVICES |
| Practice Address |
2406 Church St Greenville TX 75401-3531 |
| Mailing Address |
1141 N Loop 1604 E # 105187 San Antonio TX 78232-1339 |
| Practice Telephone | 8003484623 |
| Mailing Telephone | 8003484623 |
| Mailing Fax Number | 8003914146 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2020-04-15 |
| Authorized Official Name | VICTORIA LEE (ADMIN) |
| Authorized Official Telephone | 8003484623 |
| Is Organization Subpart | Y |
| Parent Organization Name | EDGE MEDICAL SERVICES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QB0400X |
Clinic/Center Specialization: Birthing |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477070555 | Edge Medical Services | Clinic/Center | 881 Terrace 49, Los Angeles, CA 90042-3149 | 2017-08-29 |
| 1851818934 | Edge Medical Services | Clinic/Center | 23548 Lyons Ave Ste B, Newhall, CA 91321-5782 | 2017-08-29 |
| 1609307529 | Edge Medical Services | Clinic/Center | 617 N 17th St Ste 200, Colorado Springs, CO 80904-3580 | 2017-03-22 |
| 1457891418 | Edge Medical Services | Clinic/Center | W4456 Highway 63, Springbrook, WI 54875-9421 | 2017-02-24 |
| 1063951176 | Edge Medical Services | Clinic/Center | 2406 Hughitt Ave, Superior, WI 54880-4944 | 2017-02-22 |
| 1477091783 | Edge Medical Services | Clinic/Center | 8720 Anglewood Ct, Colorado Springs, CO 80920-5347 | 2017-02-07 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1205372935 | Edge Medical Services | Clinic/Center | 8976 Jenkins Rd, Cotton, MN 55724-8017 | 2017-01-19 |
| 1407307994 | Edge Medical Services | Clinic/Center | 1845 Rd 604, Farmersville, TX 75442-6605 | 2016-10-19 |
| 1003367681 | Edge Medical Services | Clinic/Center | 545 S 670 E, Orem, UT 84097-6453 | 2016-10-19 |
| Street Address |
2406 CHURCH ST |
| City | GREENVILLE |
| State | TX |
| Zip Code | 75401-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841537412 | Audrey Joanna Stucker | Midwife | 2406 Church St, Greenville, TX 75401-3531 | 2013-01-15 |
| 1427526227 | Private Healthcare Facilities | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2018-11-09 |
| 1215403860 | Community Birth Group | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2018-10-22 |
| 1942665898 | National Birth Centers Inc | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2015-12-19 |
| 1093053290 | The Baby Place, Birthing Center | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2013-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653512 | Steven Wolanski | Occupational Therapy Assistant | Greenville Gardens Snf 3500 Park St., Greenville, TX 75401 | 2018-09-18 |
| 1184125460 | Heather Rae Hudson | Registered Nurse | 4911 Henry St, Greenville, TX 75401 | 2018-02-22 |
| 1154864742 | Kimberly Elaine Middleton | Nurse Practitioner | 4211 Joe Ramsey Blvd E Ste 105, Greenville, TX 75401 | 2016-11-30 |
| 1013373885 | Paul Brancheau | Podiatrist | 3900 Joe Ramsey Blvd E Bldg 5, Greenville, TX 75401 | 2016-01-11 |
| 1982079331 | Foresight Home Healthcare Incorporated | Home Health | 2102 Frazier Street, Greenville, TX 75401 | 2015-12-10 |
| 1083018451 | Johnny Sanders Jr. | Nurse's Aide | 1705 Northwest Hwy, Garland, TX 75401 | 2014-10-14 |
| 1942620299 | Robert Chandler Duckworth | Counselor | 4216 Wesley Street, Suite 700, Greenville, TX 75401 | 2014-04-24 |
| 1164843645 | Erica Rae Crawford | Psychologist | 3101 Joe Ramsey Boulevard, Suite 103a, Greenville, TX 75401 | 2013-12-30 |
| 1215225057 | Jordan Kelsi Mahan | Nurse Practitioner | 4101 Wesley St Ste D, Greenville, TX 75401 | 2011-07-14 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| Find all providers in zip 75401 | ||||
| Taxonomy Code | 261QB0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Birthing |
| A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman’s residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns. |
| Notes: Source: Summarized from Social Security Act [42 U.S.C. §1396d(1)(3)(B)] [1/1/2013: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528446788 | Naturally Simple, LLC | Clinic/Center | 118 E Benton St, Greenville, MI 48838-2333 | 2015-05-08 |
| 1902438724 | Blessed Births Family Wellness & Birth Center | Clinic/Center | 23 Mills Ave, Greenville, SC 29605-4015 | 2020-02-10 |
| 1427526227 | Private Healthcare Facilities | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2018-11-09 |
| 1235618968 | Private Healthcare Facilities | Clinic/Center | 23 Mills Ave, Greenville, SC 29605-4015 | 2018-08-13 |
| 1861942468 | Edge Medical Services | Clinic/Center | 23 Mills Ave, Greenville, SC 29605-4015 | 2016-10-06 |
| 1962958066 | Prisma Health-upstate | Clinic/Center | 31 Medical Ridge Dr, Greenville, SC 29605-4268 | 2016-08-29 |
| 1134581192 | National Birth Centers Inc | Clinic/Center | 23 Mills Ave, Greenville, SC 29605-4015 | 2016-03-28 |
| 1942665898 | National Birth Centers Inc | Clinic/Center | 2406 Church St, Greenville, TX 75401-3531 | 2015-12-19 |
| 1720453038 | Naturally Simple | Clinic/Center | 118 E Benton St, Greenville, MI 48838-2333 | 2015-12-11 |
| 1487044418 | Greenville Health System | Clinic/Center | 31 Medical Ridge Dr, Greenville, SC 29605-4268 | 2015-01-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 75401 |
Please comment or provide details below to improve the information on EDGE MEDICAL SERVICES.
| 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.