NICKES MEDICAL SUPPLY, LLC (NPI# 1477006054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477006054 |
| Entity Type | Organization |
| Organization Name | NICKES MEDICAL SUPPLY, LLC |
| Practice Address |
215 East Broadway Van Horn TX 79855 |
| Mailing Address |
2820 N Stanton St El Paso TX 79902-2509 |
| Practice Telephone | 4322831000 |
| Practice Fax Number | 9155330078 |
| Mailing Telephone | 9156333724 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-09-02 |
| Authorized Official Name | NGOZI AUSTIN-ELEJE (MANAGER) |
| Authorized Official Telephone | 9156333724 |
| Is Organization Subpart | Y |
| Parent Organization Name | NICKES MEDICAL SUPPLY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0094093 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 187854801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408295 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | Building 3220 Vincent Rd, Huntsville, AL 35898-0001 | 2019-10-14 |
| 1851857981 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 551 4th St., Bldg 227 Holloman Afb, Alamogordo, NM 88310-8831 | 2019-02-13 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1619433828 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 106 Meyer Ave Bldg 166, Offutt Afb, NE 68113-2000 | 2019-02-12 |
| 1427111780 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2820 N Stanton St, El Paso, TX 79902-2509 | 2006-12-18 |
| 1336781020 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 461 Skymaster Cir, Fairfield, CA 94535-1909 | 2019-10-14 |
| 1447716782 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2820 N Stanton St, El Paso, TX 79902-2509 | 2019-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NICKES MEDICAL SUPPLY, LLC | 2820 N Stanton St, El Paso, TX 79912-2509 |
| Street Address |
215 EAST BROADWAY |
| City | VAN HORN |
| State | TX |
| Zip Code | 79855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548592371 | H K A Corporation | Durable Medical Equipment & Medical Supplies | 215 East Broadway, Van Horn, TX 79855 | 2010-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912349598 | Culberson Hospital | General Acute Care Hospital | Eisenhower and Fm 2185, Van Horn, TX 79855 | 2013-07-23 |
| 1699084707 | Aliviane Van Horn | Community/Behavioral Health | 1801 W Broadway St, Van Horn, TX 79855 | 2010-10-07 |
| 1356514459 | Mendez Medical Consulting, PC | Clinical Medical Laboratory | 404 Sowell Street, Van Horn, TX 79855 | 2008-04-09 |
| 1619070760 | Preferred Hospital Leasing Van Horn | Medicare Defined Swing Bed Unit | Eisenhower Rd & Fm 2185, Van Horn, TX 79855 | 2006-09-06 |
| 1124132741 | William M Perry | Physician Assistant | Fm 2185 & Eisenhower Rd, Van Horn, TX 79855 | 2006-08-19 |
| 1013970862 | Preferred Hospital Leasing Van Horn Inc | Ambulance | Eisenhower-fm 2185, Van Horn, TX 79855 | 2006-04-11 |
| 1487000196 | David Cummings | Family Medicine | Eisenhower Rd & Fm 2185, Van Horn, TX 79855 | 2016-05-11 |
| 1205263829 | Rodett Osorio | Physician Assistant | Eisenhower and Fm 2185, Van Horn, TX 79855 | 2013-09-27 |
| 1366711194 | Medical House Calls of Texas | Physician Assistant | 404 Sowell Street, Van Horn, TX 79855 | 2011-12-23 |
| 1609064120 | Culberson Country Ems | Ambulance | 800 Eisenhower, Van Horn, TX 79855-0609 | 2007-10-10 |
| Find all providers in zip 79855 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
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|---|---|---|---|---|
| 1740897735 | Extraordinary Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 754 Bateswood Dr Apt 4, Houston, TX 77079-5711 | 2020-09-24 |
| 1013527290 | Riptide Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2408 Lexington Pl, Brownsville, TX 78520-3914 | 2020-08-03 |
| 1790300457 | United Wellness Dme LLC | Durable Medical Equipment & Medical Supplies | 2611 N Texas Blvd Ste 3, Weslaco, TX 78599-4062 | 2020-06-09 |
| 1831711969 | Brightstar Medical Supply | Durable Medical Equipment & Medical Supplies | 1006 N Sylvania Ave, Fort Worth, TX 76111-2516 | 2020-05-12 |
| 1568099232 | Manuel F Huaman | Durable Medical Equipment & Medical Supplies | 19842 Portlick Ct, Katy, TX 77449-5737 | 2020-03-24 |
| 1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1649823550 | Thomas Edward Potter | Durable Medical Equipment & Medical Supplies | 135 Bonner Ave, Corsicana, TX 75110-9252 | 2019-07-19 |
| 1114587912 | Curtis Downey | Durable Medical Equipment & Medical Supplies | 4914 Winnetka St, Houston, TX 77021-2932 | 2019-06-14 |
| 1700443330 | Leticia Garcia | Durable Medical Equipment & Medical Supplies | 12077 Briargrove Ln, Forney, TX 75126-4132 | 2019-05-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NICKES MEDICAL SUPPLY, 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.