CLUB MED LLC (NPI# 1396042552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396042552 |
| Entity Type | Organization |
| Organization Name | CLUB MED LLC |
| Practice Address |
7259 Mansfield Ave Philadelphia PA 19138-1620 |
| Practice Telephone | 8885548850 |
| Practice Fax Number | 8778296012 |
| Mailing Telephone | 8885548850 |
| Mailing Fax Number | 8778296012 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |
| Authorized Official Name | MS. PATRICE L FATE (DME SUPPLYER) |
| Authorized Official Telephone | 8885548850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
7259 MANSFIELD AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19138-1620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043788227 | Clinica Pharmacy Inc | Pharmacy | 7157 Ogontz Ave, Philadelphia, PA 19138 | 2018-11-06 |
| 1184152308 | Prime Choice Dental, Inc | Dentist | 7155 Ogontz Ave, Philadelphia, PA 19138 | 2017-06-01 |
| 1063950376 | Prodigy Home Care | Home Health | 6137 Limekiln Pike, Phiadelphia, PA 19138 | 2017-02-07 |
| 1194275313 | William Gary George Jr. | Marriage & Family Therapist | 7101 N 20th St., Phila, PA 19138 | 2016-10-12 |
| 1790234490 | Gary Downing | Counselor | 5702 Boyer St., Philadelphia, PA 19138 | 2016-09-23 |
| 1093153785 | Northwest Medical & Rehabilitation Center PC | Internal Medicine | 6315 Stenton Ave, Philadelphia, PA 19138 | 2013-06-05 |
| 1902045586 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5301 Chew Ave. B1, Philadelphia, PA 19138 | 2009-02-05 |
| 1588848477 | Tasha Carol Smith | Licensed Practical Nurse | 6947 Cedarpark Avenue, Phiadelphia, PA 19138 | 2007-12-27 |
| 1730107970 | Gregory Alan Nelson | Internal Medicine | 6315-17 Stenton Avenue, Philadelphia, PA 19138 | 2006-07-17 |
| 1588699706 | Michael D Helzner | Family Medicine | 1909/17 E Washington Lane, Philadelphia, PA 19138 | 2006-07-12 |
| Find all providers in zip 19138 | ||||
| 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 |
|---|---|---|---|---|
| 1710590534 | Restorative Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1516 N 5th St Unit 327, Philadelphia, PA 19122-3679 | 2020-08-31 |
| 1730799982 | The Medical Store, Inc. | Durable Medical Equipment & Medical Supplies | 210 Canal Pl, Philadelphia, MS 39350-8909 | 2020-08-03 |
| 1487279170 | The Doctor Shop L.L.C. | Durable Medical Equipment & Medical Supplies | 10067 Sandmeyer Ln Ste 214, Philadelphia, PA 19116-3533 | 2020-06-09 |
| 1427687813 | Squeezren, LLC | Durable Medical Equipment & Medical Supplies | 5902 Old York Rd, Philadelphia, PA 19141-2342 | 2020-04-07 |
| 1881228930 | Vantage Eyecare, LLC | Durable Medical Equipment & Medical Supplies | 1930 S Broad St Unit 16, Philadelphia, PA 19145-2328 | 2020-02-27 |
| 1508410531 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3550 Market St Ste 103, Philadelphia, PA 19104-3329 | 2019-07-29 |
| 1033761788 | Pennsylvania Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 490 N. Broad Street Suite 100, Philadelphia, PA 19130-4312 | 2019-07-12 |
| 1881256451 | Medical Discovery Systems, LLC | Durable Medical Equipment & Medical Supplies | 5425 Oxford Ave., 5425 Oxford Ave. Suite (3 A), Philadelphia, PA 19124 | 2019-07-03 |
| 1174189294 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1717 N 12th St Unit F, Philadelphia, PA 19122-2585 | 2019-05-14 |
| 1285196238 | Ernest Thomas Jr. | Durable Medical Equipment & Medical Supplies | 300 E Godfrey Ave, Philadelphia, PA 19120-1646 | 2019-04-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19138 |
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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.