NEBSOURCE LLC (NPI# 1417317082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417317082 |
| Entity Type | Organization |
| Organization Name | NEBSOURCE LLC |
| Practice Address |
4890 W Camino De La Amapola Tucson AZ 85745 |
| Practice Telephone | 5205768918 |
| Practice Fax Number | 8888720212 |
| Mailing Telephone | 5205768918 |
| Mailing Fax Number | 8888720212 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-04-23 |
| Authorized Official Name | BRYAN YOUNG (OWNER) |
| Authorized Official Telephone | 5205768918 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2194340 | AZ | Suppliers |
| Street Address |
4890 W CAMINO DE LA AMAPOLA |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| 1285996272 | Aimee Marie Steiniger | Pediatrics | 839 W. Congress Street, Tucson, AZ 85745 | 2012-06-14 |
| Find all providers in zip 85745 | ||||
| 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 |
|---|---|---|---|---|
| 1548801871 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 620 N Craycroft Rd Ste P, Tucson, AZ 85711-1448 | 2019-10-08 |
| 1760023097 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1021 E Palmdale St Ste 150-p, Tucson, AZ 85714-1857 | 2019-10-08 |
| 1811538002 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3875 N 1st Ave Ste B, Tucson, AZ 85719-1301 | 2019-09-30 |
| 1013579739 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 5405 E Granite St Bldg 2527, Tucson, AZ 85707-3004 | 2019-07-02 |
| 1417417221 | Banner - University Medical Center Tucson Campus LLC | Durable Medical Equipment & Medical Supplies | 1501 N Campbell Ave Rm 6604, Tucson, AZ 85724-0001 | 2019-03-20 |
| 1649757352 | Brittany Newland | Durable Medical Equipment & Medical Supplies | 5350 E Broadway Blvd Ste 108, Tucson, AZ 85711-3722 | 2018-07-25 |
| 1588154157 | Banner Home Care Arizona | Durable Medical Equipment & Medical Supplies | 575 E River Rd Ste 104, Tucson, AZ 85704-5822 | 2018-05-18 |
| 1467952853 | Usa Medical Equipment and Supply | Durable Medical Equipment & Medical Supplies | 7916 E Colette Cir Unit 55, Tucson, AZ 85710-2495 | 2018-02-13 |
| 1104364157 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 831 E Fort Lowell Rd, Tucson, AZ 85719-2109 | 2017-02-09 |
| 1629524368 | Family First Senior Services | Durable Medical Equipment & Medical Supplies | 3837 N Forest Park Dr, Unit 122, Tucson, AZ 85718 | 2016-09-01 |
| Find all providers in TUCSON | ||||
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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.