TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC (NPI# 1205215209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205215209 |
| Entity Type | Organization |
| Organization Name | TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC |
| Other Organization Name | YOUNGS MEDICAL EQUIPMENT |
| Practice Address |
531 Washington Blvd Williamsport PA 17701-5220 |
| Mailing Address |
122 Mill Rd Ste A130 Phoenixville PA 19460-1412 |
| Practice Telephone | 6106306357 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | MR. JOHN M GVODAS JR. (PRESIDENT) |
| Authorized Official Telephone | 6106306357 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Youngs Medical Equipment | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881608 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 322 Warren St Ste 140, Johnstown, PA 15905-3443 | 2020-08-13 |
| 1326659384 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 1295 Grand Blvd Ste 105, Monessen, PA 15062-1955 | 2020-08-13 |
| 1851888127 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 421 Pike Rd Ste 8, Huntingdon Valley, PA 19006-1623 | 2018-04-21 |
| 1154743631 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 877 Bloom Rd Ste 102, Danville, PA 17821-1351 | 2014-01-17 |
| 1083982722 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 1039 Bern Rd, Wyomissing, PA 19610-2009 | 2011-12-08 |
| 1245337518 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 560 Research Dr, Pittston, PA 18640-6160 | 2006-09-20 |
| 1417968751 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 6951 Allentown Blvd Ste A, Harrisburg, PA 17112-3374 | 2006-08-11 |
| 1134120074 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 2929 Arch St, Ste 1740, Cira Centre, Philadelphia, PA 19104-2857 | 2005-08-02 |
| 1568073534 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 109 E Mahoning St, Punxsutawney, PA 15767-2012 | 2020-08-13 |
| 1851902811 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 115 S Main St, Carrolltown, PA 15722-7206 | 2020-08-13 |
| Street Address |
531 WASHINGTON BLVD |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| 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 |
|---|---|---|---|---|
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1578940417 | Lafayette Pain Care, P.C. | Durable Medical Equipment & Medical Supplies | 3728 South Reed Road, Williamsport, IN 47993-1049 | 2015-04-29 |
| 1609147693 | Stomaplex LLC | Durable Medical Equipment & Medical Supplies | 917 1st Ave, Williamsport, PA 17701-3005 | 2012-01-23 |
| 1477768992 | Alert One Services, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Commerce Park Dr Ste 300, Williamsport, PA 17701-5400 | 2007-05-10 |
| 1407901739 | Loyalsock Mobility Services LLC | Durable Medical Equipment & Medical Supplies | 607 Pine St, Williamsport, PA 17701-5014 | 2007-01-25 |
| 1104990076 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1303 Washington Blvd, Williamsport, PA 17701-5422 | 2006-11-20 |
| 1306936323 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 2023 Lycoming Creek Road, Williamsport, PA 17701-1206 | 2006-10-13 |
| 1770672438 | Rite Aid of Pennsylvania LLC | Durable Medical Equipment & Medical Supplies | 14 Fifth Street, Williamsport, PA 17701-6201 | 2006-10-12 |
| 1962595413 | Response Link L.L.C. | Durable Medical Equipment & Medical Supplies | 1000 Commerce Park Drive, Suite 300, Williamsport, PA 17701-5400 | 2006-10-02 |
| 1154420404 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 1913 East Third Street, Williamsport, PA 17701-3901 | 2006-09-22 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC.
| 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.