CHARLES DERON LEWIS (NPI# 1073504437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073504437 |
| Entity Type | Organization |
| Organization Name | CHARLES DERON LEWIS |
| Other Organization Name | RELIABLE HEALTHCARE |
| Practice Address |
310 N Adams Street Carthage TX 75633 |
| Mailing Address |
Po Box 187 Carthage TX 75633 |
| Practice Telephone | 9036942285 |
| Practice Fax Number | 9036949658 |
| Mailing Telephone | 9036942285 |
| Mailing Fax Number | 9036949658 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | MR. CHARLES DERON LEWIS (OWNER/PROPRIETOR) |
| Authorized Official Telephone | 9036942285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 010568601 | 05 | |
| TX | 016517701 | 05 | |
| TX | BCBS | 530941 | 01 |
| Other Name | Type Code |
|---|---|
| Reliable Healthcare | Doing Business As Name - Organization |
| Street Address |
310 N ADAMS STREET |
| City | CARTHAGE |
| State | TX |
| Zip Code | 75633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1770666208 | Prakash Malviya | Pediatrics | 409 Cottage Road, Etmc, Carthage, TX 75633 | 2006-10-20 |
| 1457448011 | Johnny Edwin Majors | Dentist | 103 North Sycamore, Carthage, TX 75633 | 2006-10-06 |
| 1740374164 | Clayton H. Brakeville | Physical Therapist | 107 S. Daniels St, Carthage, TX 75633 | 2006-10-02 |
| 1205927761 | Dennis D Golden Sr. | Optometrist | 105 Cottage Rd, Carthage, TX 75633 | 2006-09-27 |
| 1770685059 | Tom M Jones | Dentist | 311 West Sabine, Carthage, TX 75633 | 2006-09-05 |
| 1124037031 | Izzy Inc | Durable Medical Equipment & Medical Supplies | 106 N Shelby St, Carthage, TX 75633 | 2006-08-07 |
| 1699705756 | Iraj Roshan | Internal Medicine | 1519 W Panola St, Carthage, TX 75633 | 2006-07-04 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| 1861544827 | Susan Giroux Donald | Optometrist | 403 N Adams St, Carthage, TX 75633 | 2007-01-18 |
| Find all providers in zip 75633 | ||||
| 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 |
|---|---|---|---|---|
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1568714137 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 945 Monroe St, Carthage, NC 28327-9339 | 2012-10-08 |
| 1689980146 | Food Lion LLC | Durable Medical Equipment & Medical Supplies | 7475 Nc Hwy 22, Carthage, NC 28327 | 2010-08-23 |
| 1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
| 1275632440 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 118 Canal Street, Carthage, NY 13619-1601 | 2006-09-22 |
| 1245339464 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 74 Dixon Springs Highway, Carthage, TN 37030-1063 | 2006-09-22 |
| 1477650976 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 801 W Panola St, Carthage, TX 75633-2335 | 2006-09-20 |
| 1083723571 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 1 North Broad Street, Carthage, NY 13619-9503 | 2006-08-29 |
| 1124037031 | Izzy Inc | Durable Medical Equipment & Medical Supplies | 106 N Shelby St, Carthage, TX 75633 | 2006-08-07 |
| 1366457301 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2737 S Grand Ave, Carthage, MO 64836-7907 | 2006-07-29 |
| Find all providers in CARTHAGE | ||||
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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.