GRACE HEALTHCARE DME (NPI# 1972814127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972814127 |
Entity Type | Organization |
Organization Name | GRACE HEALTHCARE DME |
Practice Address |
300 Highway 11 Suite D Poplarville MS 39470 |
Mailing Address |
1120 Broad Avenue Gulfport MS 39501 |
Practice Telephone | 6012400001 |
Mailing Telephone | 2288633331 |
Mailing Fax Number | 2288633392 |
Enumeration Date | 2010-06-23 |
Last Update Date | 2010-06-23 |
Authorized Official Name | DAVID J WOLF (PRESIDENT) |
Authorized Official Telephone | 2288633331 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235663733 | Grace Healthcare Dme | Durable Medical Equipment & Medical Supplies | 112 S 27th Ave, Hattiesburg, MS 39401-7156 | 2017-04-12 |
Street Address |
300 HIGHWAY 11 SUITE D |
City | POPLARVILLE |
State | MS |
Zip Code | 39470 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134735723 | Clarence Donald Case Jr. | Psychologist | Pearl River Family and Behavioral Health Clinic, 302 Hwy 11 S, Poplarville, MS 39470 | 2020-09-18 |
1285061895 | Freds Stores of Tennessee Inc | Pharmacy | 1388 South Main Street, Poplarville, MS 39470 | 2013-09-27 |
1881837128 | Cirila Reyes | Family Medicine | 1222 S Main Street, Poplarville Family Medical Clinic, Poplarville, MS 39470 | 2009-04-16 |
1003026717 | Forrest County General Hospital | General Acute Care Hospital | 305 W Moody St, Poplarville, MS 39470 | 2007-05-23 |
1053450320 | Pearl River County Hospital | General Acute Care Hospital | 305 West Moody Street, Poplarville, MS 39470 | 2007-02-05 |
1306983903 | Stone County Hospital, Inc. | Clinic/Center | 1222 S Main, Poplarville, MS 39470 | 2007-01-31 |
1669527503 | Kelvie Culpepper | Chiropractor | 859 Hwy 26 West, Poplarville, MS 39470 | 2007-01-23 |
1669575668 | Michael Frank De Marco | Podiatrist | 101 Lamar Smith Rd, Poplarville, MS 39470 | 2006-09-06 |
1831209477 | Ryan W Woods | Physical Therapist | 1403 South Main Street, Suite E, Poplarville, MS 39470 | 2006-08-30 |
1316336993 | Allison Sutton | Social Worker | 302 Highway 11 S, Poplarville, MS 39470 | 2015-01-20 |
Find all providers in zip 39470 |
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 |
---|---|---|---|---|
1477719730 | Poplarville Home Medical LLC | Durable Medical Equipment & Medical Supplies | 1403 S Main St, Suite B2, Poplarville, MS 39470-3394 | 2008-08-05 |
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 |
City | POPLARVILLE |
Zip Code | 39470 |
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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.