IBERVILLE MEDICAL SUPPLIES STORE, LLC (NPI# 1346576600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346576600 |
| Entity Type | Organization |
| Organization Name | IBERVILLE MEDICAL SUPPLIES STORE, LLC |
| Practice Address |
58610 Belleview Dr Plaquemine LA 70764-3900 |
| Practice Telephone | 2253853155 |
| Practice Fax Number | 2256876311 |
| Mailing Telephone | 2253853155 |
| Mailing Fax Number | 2256876311 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2009-10-21 |
| Authorized Official Name | MRS. LEE ANN HAGGENS (OWNER) |
| Authorized Official Telephone | 2253853155 |
| 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 |
LA | Suppliers |
| Street Address |
58610 BELLEVIEW DR |
| City | PLAQUEMINE |
| State | LA |
| Zip Code | 70764-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659841138 | Access Health Louisiana | Clinic/Center | 58650 Iron Farm Road, Plaquemine, LA 70764 | 2018-11-28 |
| 1982194817 | The Harmony Center, Inc. | Family Medicine | 59213 Riverwest Dr., Plaquemine, LA 70764 | 2018-05-16 |
| 1770085938 | Angelica Darlynetta Peterson | Counselor | 58205 Bayou Jacob Rd, Plaquemine, LA 70764 | 2018-03-05 |
| 1841727500 | Bruce Greene | Counselor | 22900 Blakeney Dr, Plaqumine, LA 70764 | 2017-05-12 |
| 1104359801 | Gina J. Martin | Counselor | 58155 Chinn Street, Suite A, Plaquemine, LA 70764 | 2017-04-10 |
| 1831555713 | Dwayne Harmson | Social Worker | 23905 Castle Court St, Plaquemine, LA 70764 | 2016-01-08 |
| 1356718662 | St Gabriel Health Clinic, Inc | Clinic/Center | 24360 Enterprise Boulevard, Plaquemine, LA 70764 | 2015-08-24 |
| 1013344621 | Ochnser Health Center-eyecare Iberville | Eyewear Supplier (Equipment, not the service) | 25420 La Highway 1, Suite E, Plaquemine, LA 70764 | 2013-09-27 |
| 1861657421 | Signs & Wonders Community Mental Health Center LLC | Clinic/Center | 25341 Hwy 1 South, Plaquemine, LA 70764 | 2008-07-23 |
| 1205018389 | Physicians Imaging - Iberville LLC | Clinic/Center | 59295 River West Drive, Suite D, Plaquemine, LA 70764 | 2007-11-30 |
| Find all providers in zip 70764 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339046 | Gulf Coast Dme LLC | Durable Medical Equipment & Medical Supplies | 11822 Justice Ave Ste B6, Baton Rouge, LA 70816-2306 | 2020-06-05 |
| 1487278503 | Amerimed Dme | Durable Medical Equipment & Medical Supplies | 706 Verret St, Houma, LA 70360-4634 | 2020-06-04 |
| 1427522929 | Latour Health IIi | Durable Medical Equipment & Medical Supplies | 1004b N Pine St, Deridder, LA 70634-2818 | 2019-01-17 |
| 1235602046 | Access Respiratory Homecare LLC | Durable Medical Equipment & Medical Supplies | 5417 Johnston St, Lafayette, LA 70503-5135 | 2019-01-03 |
| 1609347970 | Duramed Inc | Durable Medical Equipment & Medical Supplies | 70326 Highway 59 Ste 7, Abita Springs, LA 70420-3181 | 2018-12-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | PLAQUEMINE |
| Zip Code | 70764 |
Please comment or provide details below to improve the information on IBERVILLE MEDICAL SUPPLIES STORE, 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.