ICON MEDICAL SOLUTIONS CORP (NPI# 1619326048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619326048 |
| Entity Type | Organization |
| Organization Name | ICON MEDICAL SOLUTIONS CORP |
| Practice Address |
40 Spruce St Ste 202 Leominster MA 01453 |
| Mailing Address |
40 Spruce St Ste 202 Leominster MA 01453-3367 |
| Practice Telephone | 7025211133 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2018-10-19 |
| Authorized Official Name | BRYAN BOURGEOIS (PRESIDENT) |
| Authorized Official Telephone | 9785346590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
40 SPRUCE ST STE 202 |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| 1427307909 | Margaret Ann Allen | Pharmacist | 136 Hall St, Leominster, MA 01453 | 2012-08-30 |
| Find all providers in zip 01453 | ||||
| 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 |
|---|---|---|---|---|
| 1366602831 | Top Shelf Medical | Durable Medical Equipment & Medical Supplies | 15 Brentwood Dr, Leominster, MA 01453-2001 | 2008-06-09 |
| 1518143957 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 11 Jungle Rd, Leominster, MA 01453-5207 | 2008-01-16 |
| 1649344516 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 100 Erdman Way Ste 100, Leominster, MA 01453-1804 | 2006-11-20 |
| 1346358728 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 927 Merriam Avenue, Leominster, MA 01453 | 2006-08-27 |
| 1639182991 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 118 Lancaster St, Leominster, MA 01453-3833 | 2006-08-15 |
| 1447272109 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 86 Orchard Hill Park Dr, Leominster, MA 01453-7020 | 2006-07-24 |
| 1609814649 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 1089 Central Street, Leominster, MA 01453-4807 | 2006-06-03 |
| 1043508500 | Gariepy Furniture Co., Inc. | Durable Medical Equipment & Medical Supplies | 91 Central St, Leominster, MA 01453-5710 | 2011-07-19 |
| 1518110659 | Top Shelf Medical | Durable Medical Equipment & Medical Supplies | 15 Brentwood Dr, Leominster, MA 01453-2001 | 2008-11-03 |
| 1184809527 | James G. Cataldo Dpm | Durable Medical Equipment & Medical Supplies | 14 Manning Ave, Suite #302, Leominster, MA 01453-5768 | 2008-01-04 |
| Find all providers in LEOMINSTER | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
Please comment or provide details below to improve the information on ICON MEDICAL SOLUTIONS CORP.
| 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.