SOURCE ONE MEDICAL INC (NPI# 1982673257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982673257 |
| Entity Type | Organization |
| Organization Name | SOURCE ONE MEDICAL INC |
| Other Organization Name | SOURCE ONE MEDICAL INC |
| Practice Address |
6886 Hillsdale Ct Indianapolis IN 46250-2001 |
| Mailing Address |
16 Technology Dr Suite 165 Irvine CA 92618-2328 |
| Practice Telephone | 8884479056 |
| Practice Fax Number | 9493876371 |
| Mailing Telephone | 8884479056 |
| Mailing Fax Number | 9493876371 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-06-14 |
| Authorized Official Name | DENNIS KLINE (PRESIDENT/CEO) |
| Authorized Official Telephone | 8884479056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Source One Medical Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679736888 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 6280 S Valley View Blvd, Suite 220, Las Vegas, NV 89118-3809 | 2008-07-08 |
| 1568653871 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 38 Tesla, Suite 150, Irvine, CA 92618-4669 | 2007-08-05 |
| 1679661870 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 1397 Piedmont Dr, Ste 300, Troy, MI 48083-1906 | 2006-10-11 |
| 1578672374 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 7551 W 99th St, Bridgeview, IL 60455-2403 | 2006-08-29 |
| 1881703684 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 2124 S 156th Cir, Omaha, NE 68130-2503 | 2006-08-29 |
| 1043289176 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 411 Ironwood Dr, Salt Lake City, UT 84115-2948 | 2006-03-14 |
| 1275530784 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 96 Inverness Dr E, Unit D, Englewood, CO 80112-5302 | 2005-06-30 |
| 1750388252 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 2121 New Market Pkwy Se, Suite 108, Marietta, GA 30067-9315 | 2005-06-30 |
| 1619972239 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 16 Technology Dr, Suite 165, Irvine, CA 92618-2328 | 2005-06-20 |
| 1548416043 | Source One Medical Inc | Durable Medical Equipment & Medical Supplies | 7551 W 99th St, Bridgeview, IL 60455-2403 | 2008-08-15 |
| Street Address |
6886 HILLSDALE CT |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| 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 |
|---|---|---|---|---|
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1427676634 | Undranita Gilbert | Durable Medical Equipment & Medical Supplies | 12077 Stern Dr, Indianapolis, IN 46256-9442 | 2020-07-14 |
| 1710503693 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3905 Vincennes Rd Ste 405, Indianapolis, IN 46268-3026 | 2020-06-17 |
| 1649890849 | Defy Therapeutics LLC | Durable Medical Equipment & Medical Supplies | 6330 East 75th Street, Suite 218, Indianapolis, IN 46250-2700 | 2020-04-17 |
| 1558997049 | At Home Health Equipment LLC | Durable Medical Equipment & Medical Supplies | 7930 S Emerson Ave Ste 3, Indianapolis, IN 46237-8626 | 2020-03-17 |
| 1528693611 | Ally Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 9247 N Meridian St Ste 106, Indianapolis, IN 46260-1879 | 2020-03-09 |
| 1831720788 | Good for You Enterprises LLC | Durable Medical Equipment & Medical Supplies | 451 Wellington Road, Indianapolis, IN 46260-4619 | 2020-01-30 |
| 1144865338 | Medco Respiratory Instruments, Inc | Durable Medical Equipment & Medical Supplies | 3125 Dandy Trl Ste 216, Indianapolis, IN 46214-1460 | 2019-11-12 |
| 1447802251 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 336 S Delaware St, Indianapolis, IN 46204-3701 | 2019-07-11 |
| 1518426204 | 180 Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5756 W 74th Street, Bldg 112, Indianapolis, IN 46278-1755 | 2019-03-13 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on SOURCE ONE MEDICAL INC.
| 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.