MEDCO (NPI# 1336219104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336219104 |
| Entity Type | Organization |
| Organization Name | MEDCO |
| Practice Address |
14470 Smoketown Rd Woodbridge VA 22192-4712 |
| Practice Telephone | 7034905980 |
| Practice Fax Number | 7034908107 |
| Mailing Telephone | 7034905980 |
| Mailing Fax Number | 7034908107 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANNETTE FLEMING MCCLATCHEY (PRESIDENT) |
| Authorized Official Telephone | 7034908106 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0206009192 | VA | Suppliers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDCO | 190 Rodeo Dr, Edgewood, NY 11717-8317 |
| Vermont Business Registrations | MEDCO | 100 Parsons Pond Dr, Franklin Lakes, NJ 07417 |
| Washington State Corporations | MEDCO AMBULANCE, INC. | 13409 E Sprague, Spokane, WA 99216 |
| New York State Corporations | MEDCO CONSTRUCTION INC. | No Street Address, Wallkill, New York |
| Oklahoma Business Registrations | MEDCO CONSTRUCTION L.L.C. | 4005 Crutcher Street, Suite 200, Dallas, TX 75246 |
| Iowa Business Entities | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | One Express Way, St. Louis, MO 63121 |
| Colorado Business Entities | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | One Express Way, Saint Louis, MO 63121 |
| Virginia Business Entities | MEDCO CONTAINMENT LIFE INSURANCE COMPANY | 1 Express Way, Saint Louis, Missouri 63121-1824 |
| North Carolina Corporations | MEDCO CORP | 189 Continuum Drive Suite A, Fletcher, NC 28732 |
| Massachusetts Corporations | MEDCO CORP., INC. | 229 Weir Street, Taunton, MA 02780 |
| Street Address |
14470 SMOKETOWN RD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-4712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 |
|---|---|---|---|---|
| 1811463870 | Malachi Medical Supplies | Durable Medical Equipment & Medical Supplies | 13000 Harbor Center Dr # 312k, Woodbridge, VA 22192-2846 | 2018-10-17 |
| 1871080499 | Lincoln Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 14934 Cummings Ct, Woodbridge, VA 22193-5718 | 2018-04-19 |
| 1952898454 | Aa Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 15550 Wheatfield Rd, Woodbridge, VA 22193-5707 | 2018-04-19 |
| 1518486828 | Pwc Home Medical Supply | Durable Medical Equipment & Medical Supplies | 12820 Marblestone Dr, Woodbridge, VA 22192-5387 | 2017-09-18 |
| 1710426861 | Arm Medical Equipment | Durable Medical Equipment & Medical Supplies | 13000 Harbor Center Dr # 312a, Woodbridge, VA 22192 | 2017-02-21 |
| 1548709264 | Allied Medical Supply | Durable Medical Equipment & Medical Supplies | 5565 Riverton Ct, Woodbridge, VA 22193-3706 | 2017-02-14 |
| 1720536139 | Orthosupply, LLC | Durable Medical Equipment & Medical Supplies | 10 Main Street Unit 177, Woodbridge, NJ 07095 | 2016-09-14 |
| 1427504927 | Mount Zion Home Health Services LLC | Durable Medical Equipment & Medical Supplies | 4128 Hampstead Ln, Woodbridge, VA 22192-5140 | 2016-08-25 |
| 1902260326 | Leader Six, Inc | Durable Medical Equipment & Medical Supplies | 12691 Catawba Dr, Woodbridge, VA 22192-6415 | 2016-04-12 |
| 1902148554 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 14095 Jefferson Davis Hwy, Woodbridge, VA 22191-0000 | 2013-03-21 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on MEDCO.
| 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.