ROCK HOUSE MEDICAL SUPPLY, LLC (NPI# 1588282917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588282917 |
| Entity Type | Organization |
| Organization Name | ROCK HOUSE MEDICAL SUPPLY, LLC |
| Practice Address |
25 N Spring St Sparta TN 38583 |
| Practice Telephone | 9318362532 |
| Practice Fax Number | 9318362530 |
| Mailing Telephone | 9318362532 |
| Mailing Fax Number | 9318362530 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | SCOTTY LEE KIRBY (OWNER) |
| Authorized Official Telephone | 9318362532 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
25 N SPRING ST |
| City | SPARTA |
| State | TN |
| Zip Code | 38583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769047 | Results-ast Jv, LLC | Physical Therapist | 421 Sewell Road, Sparta, TN 38583 | 2020-10-26 |
| 1881215333 | Nancy Marie Rutherford | Physical Therapist | 421 Sewell Drive, Sparta, TN 38583 | 2020-05-06 |
| 1942798210 | Oscar Dale Sims | Pharmacist | 202 Sam Walton Drive, Sparta, TN 38583 | 2018-04-23 |
| 1932622644 | Medicherla Shyam Sunder Kumar | Internal Medicine | 401 Sewell Road, Sparta, TN 38583 | 2017-07-25 |
| 1972852341 | Jtp Enterprises, LLC | Clinic/Center | 287 Turntable Rd., Sparta, TN 38583 | 2012-08-31 |
| 1154619898 | Abbie Howell | Pharmacist | 460 West Bockman Way, Sparta, TN 38583 | 2011-07-15 |
| 1164556759 | Leslie Ann Reagan | Pharmacist | 207 West Town Plaza, Sparta, TN 38583 | 2007-03-15 |
| 1497809875 | Waymon Haston | Dentist | 9-a Hampton Drive, Sparta, TN 38583 | 2007-01-22 |
| 1407920127 | Jeffry Alan Belknap | Internal Medicine | 809 W Bockman Way, Sparta, TN 38583 | 2006-11-17 |
| 1346312477 | Abhay G Kemkar | Internal Medicine | 441 Sewell Rd, Sparta, TN 38583 | 2006-11-14 |
| Find all providers in zip 38583 | ||||
| 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 |
|---|---|---|---|---|
| 1982894465 | Marion Eye Centers Ltd. | Durable Medical Equipment & Medical Supplies | 216 N Market St, Sparta, IL 62286-2021 | 2007-07-31 |
| 1649489089 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 483 W Bockman Way, Sparta, TN 38583-1832 | 2007-05-22 |
| 1184634792 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 11 East Division Street, Sparta, MI 49345-1325 | 2006-08-08 |
| 1144235227 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 710 W Wisconsin St, Sparta, WI 54656-2335 | 2006-07-29 |
| 1275550477 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 202 Sam Walton Dr, Sparta, TN 38583-8810 | 2006-07-16 |
| 1710904859 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1600 W Wisconsin St, Sparta, WI 54656-2242 | 2006-07-16 |
| 1962436600 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 207 West Towne Plaza, Sparta, TN 38583 | 2006-07-10 |
| 1477585321 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 5 Town Center Drive, Sparta, NJ 07871-1821 | 2006-07-07 |
| 1699740001 | Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7154 State Highway 14 E, Sparta, MO 65753-8939 | 2006-02-20 |
| 1710961461 | Gamble & Acuff Enterprises LLC | Durable Medical Equipment & Medical Supplies | 501 Mose Dr, Sparta, TN 38583-1212 | 2005-12-05 |
| Find all providers in SPARTA | ||||
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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.