MARIE'S MEDICAL SUPPLY, INC (NPI# 1073627568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073627568 |
| Entity Type | Organization |
| Organization Name | MARIE'S MEDICAL SUPPLY, INC |
| Practice Address |
775 S Bonner St Ruston LA 71270-5801 |
| Mailing Address |
Po Box 2174 West Monroe LA 71294-2174 |
| Practice Telephone | 3182553077 |
| Practice Fax Number | 3182553242 |
| Mailing Telephone | 3183383550 |
| Mailing Fax Number | 3183383551 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-06-21 |
| Authorized Official Name | MR. BLANE P MARIE (OWNER) |
| Authorized Official Telephone | 3183383550 |
| 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 |
370011363 | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1433209 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346354859 | Marie's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 103 Blanchard St, Suite F, West Monroe, LA 71291-7369 | 2006-08-19 |
| Street Address |
775 S BONNER ST |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962140 | Breanna Fisher | Case Manager/Care Coordinator | 775 S Bonner St, Ruston, LA 71270-5801 | 2019-10-01 |
| 1538714100 | Ebony Wright | Case Manager/Care Coordinator | 775 S Bonner St, Ruston, LA 71270-5801 | 2019-08-09 |
| 1114484151 | Megan Jackson | Case Manager/Care Coordinator | 775 S Bonner St, Ruston, LA 71270-5801 | 2019-02-26 |
| 1871059592 | Brittany Green | Case Manager/Care Coordinator | 775 S Bonner St, Ruston, LA 71270-5801 | 2019-02-18 |
| 1235694241 | Tyler Spears | Case Manager/Care Coordinator | 775 S Bonner St, Ruston, LA 71270-5801 | 2019-02-04 |
| 1962906719 | Jamie Arthurlee | Counselor | 775 S Bonner St, Ruston, LA 71270-5801 | 2018-03-19 |
| 1003323460 | Kristy Kerchell Jones | Counselor | 775 S Bonner St, Ruston, LA 71270-5801 | 2018-01-08 |
| 1104356104 | Tartesha Jones | Counselor | 775 S Bonner St, Ruston, LA 71270-5801 | 2017-06-13 |
| 1972033918 | Latrice Gray | Counselor | 775 S Bonner St, Ruston, LA 71270-5801 | 2017-06-13 |
| 1578091534 | Nichelle Goree | Counselor | 775 S Bonner St, Ruston, LA 71270-5801 | 2017-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
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| 1487184990 | Duramed, Inc | Durable Medical Equipment & Medical Supplies | 8126 One Calais Ave Ste 1b, Baton Rouge, LA 70809-3448 | 2017-06-16 |
| 1407214026 | Medical Technologies, Inc. | Durable Medical Equipment & Medical Supplies | 1011 N Lake Arthur Ave, Suite B, Jennings, LA 70546-4631 | 2016-02-10 |
| 1285023804 | Nationwide Medical, Inc | Durable Medical Equipment & Medical Supplies | 738 E I 10 Service Rd Ste C, Slidell, LA 70461-5519 | 2015-01-20 |
| 1679843098 | Beauregard Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1004 N Pine St, B, Deridder, LA 70634-2818 | 2012-01-02 |
| 1265715221 | National Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2045 N 3rd St Apt 314, Baton Rouge, LA 70802-5182 | 2011-09-26 |
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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.