MEDSOURCE LLC (NPI# 1376743922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376743922 |
| Entity Type | Organization |
| Organization Name | MEDSOURCE LLC |
| Practice Address |
8005 Main St Ste 17 Dexter MI 48130-1027 |
| Mailing Address |
Po Box 1248 Bloomington IL 61702-1248 |
| Practice Telephone | 8885105100 |
| Mailing Telephone | 3096647930 |
| Mailing Fax Number | 3096647931 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2019-08-19 |
| Authorized Official Name | MR. ERIC ROHDE (OWNER) |
| Authorized Official Telephone | 3096647930 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922264159 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 2301 W 1st St, Ste 5, Ankeny, IA 50023-2470 | 2008-08-07 |
| 1942389127 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 650 N Girls School Rd Ste C35, Indianapolis, IN 46214-3660 | 2006-11-06 |
| 1275847725 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 414 W Moreland Blvd, Suite 108, Waukesha, WI 53188-2441 | 2010-07-27 |
| 1669795415 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 25835 Narbonne Ave, Suite 280d, Lomita, CA 90717-3074 | 2010-03-09 |
| 1134442361 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 8600 W 95th St, Suite 100a, Overland Park, KS 66212 | 2010-03-02 |
| 1730354531 | Medsource LLC | Durable Medical Equipment & Medical Supplies | 700 N Sacramento Blvd, Ste 120, Chicago, IL 60612 | 2008-04-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | MEDSOURCE LLC | 3002 Gill St, Bloomington, IL 61704 |
| Virginia Business Entities | MEDSOURCE LLC | 152 Ridings Cove, Williamsburg, Virginia 23185 |
| Street Address |
8005 MAIN ST STE 17 |
| City | DEXTER |
| State | MI |
| Zip Code | 48130-1027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013497585 | Julie Anne Bumpus X | Nurse Practitioner | 4848 Gregory, Dexter, MI 48130 | 2018-08-15 |
| 1255726592 | Alliance for Hope and Healing | Psychologist | 8005 Main St., Dexter, MI 48130 | 2015-04-03 |
| 1588979926 | Beata Malgorzata Jagoda-ohman | Physical Therapist | 7057 Dexter-ann Arbor Rd, Dexter, MI 48130 | 2010-08-10 |
| 1639317514 | Thrive Chiropractic Dexter P.C. | Preferred Provider Organization | 3219 Broad St, Suite 106, Dexter, MI 48130 | 2009-01-30 |
| 1083888622 | Alan Stephen Boyce | Chiropractor | 3151 Baker Rd, Dexter, MI 48130 | 2008-04-15 |
| 1720200785 | Brenda Denise Eisele | Speech-Language Pathologist | 3630 Noble Drive, Dexter, MI 48130 | 2007-05-02 |
| 1104041649 | Robert Joseph Turck | Dentist | 3060 Baker Rd, Dexter, MI 48130 | 2007-04-17 |
| 1073647343 | Amy Alexandra Whitney | Pharmacist | 7080 Dexter- Ann Arbor Rd, Dexter, MI 48130 | 2007-03-16 |
| 1457481442 | John Douglas Higgins | Audiologist | 7900 W Huron River Dr, Dexter, MI 48130 | 2007-03-07 |
| 1235264425 | Boyce Dc Pllc | Chiropractor | 3151 Baker Road, Dexter, MI 48130 | 2007-02-21 |
| Find all providers in zip 48130 | ||||
| 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 |
|---|---|---|---|---|
| 1942696349 | Key Drugs At Dexter LLC | Durable Medical Equipment & Medical Supplies | 1007 W Business Us Highway 60, Dexter, MO 63841-2703 | 2015-04-13 |
| 1467631705 | Frederick Schmid Inc | Durable Medical Equipment & Medical Supplies | 2820 Baker Rd, Dexter, MI 48130-1114 | 2007-11-02 |
| 1487785358 | Overturf Drug Stores of Dexter, Inc. | Durable Medical Equipment & Medical Supplies | 903 West Business Hwy 60, Dexter, MO 63841 | 2007-03-09 |
| 1477624880 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 188 Spring Street, Dexter, ME 04930-1529 | 2006-11-10 |
| 1366544702 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 904 W Business Us Highway 60, Dexter, MO 63841-2701 | 2006-09-05 |
| 1003897679 | D&s Drug LLC | Durable Medical Equipment & Medical Supplies | 1226 W Bus Highway 60, Dexter, MO 63841-2706 | 2005-11-09 |
| 1114442431 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 188 Spring St, Dexter, ME 04930-1529 | 2017-08-08 |
| 1346783743 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 37 Church St, Dexter, ME 04930-1333 | 2016-12-02 |
| 1588929160 | Sasco Dexter LLC | Durable Medical Equipment & Medical Supplies | 2820 Baker Rd, Dexter, MI 48130-1181 | 2012-07-10 |
| 1699098913 | D&s Drug LLC | Durable Medical Equipment & Medical Supplies | 1226 W Bus Highway 60, Dexter, MO 63841-2706 | 2010-03-02 |
| Find all providers in DEXTER | ||||
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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.