GULF STATES MEDICAL SUPPLY LLC (NPI# 1649573387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649573387 |
| Entity Type | Organization |
| Organization Name | GULF STATES MEDICAL SUPPLY LLC |
| Practice Address |
4801 Eraste Hebert Rd New Iberia LA 70560-0839 |
| Practice Telephone | 3373648881 |
| Practice Fax Number | 3373648862 |
| Mailing Telephone | 3373648881 |
| Mailing Fax Number | 3373648862 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2014-07-29 |
| Authorized Official Name | MR. BLAKE NICHOLSON (MANAGING PARTNER) |
| Authorized Official Telephone | 3373648881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4801 ERASTE HEBERT RD |
| City | NEW IBERIA |
| State | LA |
| Zip Code | 70560-0839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
| 1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
| 1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
| 1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
| 1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
| 1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
| 1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
| 1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
| 1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
| 1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
| Find all providers in zip 70560 | ||||
| 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 |
|---|---|---|---|---|
| 1851876270 | Louisiana Orthopaedic Specialist, LLC | Durable Medical Equipment & Medical Supplies | 500 N Lewis St Ste 280, New Iberia, LA 70563-2046 | 2018-10-02 |
| 1326546276 | Headache & Pain Center, A Medical Corporation | Durable Medical Equipment & Medical Supplies | 531a Jefferson Ter, New Iberia, LA 70560-4949 | 2018-01-25 |
| 1366881153 | Melancon Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 709 S Lewis St Ste E, New Iberia, LA 70560-4858 | 2013-06-14 |
| 1083888218 | Dependable Medical Supply | Durable Medical Equipment & Medical Supplies | 4801 Eraste Hebert, New Iberia, LA 70560 | 2008-04-18 |
| 1962682294 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 1033 Andre St Ste A, New Iberia, LA 70563-2161 | 2007-11-03 |
| 1538245980 | Morgan & Associates | Durable Medical Equipment & Medical Supplies | 2213 Old Jeanerette Road, New Iberia, LA 70563 | 2006-10-28 |
| 1942319330 | K&b Louisiana Corporation | Durable Medical Equipment & Medical Supplies | 1108 East Main Street, New Iberia, LA 70560-3920 | 2006-08-30 |
| 1942310701 | K&b Louisiana Corporation | Durable Medical Equipment & Medical Supplies | 1150 West Saint Peter Street, New Iberia, LA 70560-3558 | 2006-08-30 |
| 1841205002 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1017 E Admiral Doyle Dr, New Iberia, LA 70560-6710 | 2006-07-29 |
| 1790702033 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1205 E Admiral Doyle Dr, New Iberia, LA 70560-6308 | 2006-07-16 |
| Find all providers in NEW IBERIA | ||||
| City | NEW IBERIA |
| Zip Code | 70560 |
Please comment or provide details below to improve the information on GULF STATES 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.