MINERAL WELLS MEDICAL SUPPLY, INC (NPI# 1740205657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740205657 |
Entity Type | Organization |
Organization Name | MINERAL WELLS MEDICAL SUPPLY, INC |
Practice Address |
211 Sw 25th Ave Mineral Wells TX 76067-8241 |
Mailing Address |
Po Box 1152 Mineral Wells TX 76068-1152 |
Practice Telephone | 9403252706 |
Practice Fax Number | 9403254130 |
Mailing Telephone | 9403252706 |
Mailing Fax Number | 9403254130 |
Enumeration Date | 2006-07-12 |
Last Update Date | 2012-05-04 |
Authorized Official Name | MRS. REBBEKAH NADINE ANDRESS (PRESIDENT/OWNER) |
Authorized Official Telephone | 9403252706 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
0035334 | TX | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BLUE CROSS BLUE SHIELD | 513486 | 01 |
TX | 087075001 | 05 | |
TX | AETNA MEDICAID | 44995 | 01 |
TX | 015895801 | 05 |
Street Address |
211 SW 25TH AVE |
City | MINERAL WELLS |
State | TX |
Zip Code | 76067-8241 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609392810 | Jamie Lee Olsen | Registered Nurse | 2517 Highway 180 E Ste B, Mineral Wells, TX 76067 | 2017-08-18 |
1740663475 | Mineral Wells, Pllc | Dentist | 931 N Fm 1821, Suite C, Mineral Wells, TX 76067 | 2015-06-30 |
1710367305 | Karin Denise Boggs | Counselor | 4113a Highway 180 East, Suite C, Mineral Wells, TX 76067 | 2015-06-09 |
1275786576 | Debby Louise Polozeck | Registered Nurse | 202 Sw 25th Ave Ste 300, Mineral Wells, TX 76067 | 2008-10-30 |
1427252469 | Ryan Freemyer Md Pa | Surgery | 214 Southwest 26th Avenue, Suite A, Mineral Wells, TX 76067 | 2007-06-13 |
1467664078 | Graford Isd | Local Education Agency (LEA) | 906 S W Fifth Ave, Mineral Wells, TX 76067 | 2007-05-04 |
1447462056 | Mineral Wells Isd | Local Education Agency (LEA) | 906 S. W. Fifth Ave, Mineral Wells, TX 76067 | 2007-05-04 |
1407070758 | Mineral Wells Women's Pavilion, P.a. | Obstetrics & Gynecology | 220 Sw 26th Avenue, Mineral Wells, TX 76067 | 2007-04-11 |
1871643007 | Med Pavilion PC | Pediatrics | 220a Sw 26th Ave, Mineral Wells, TX 76067 | 2007-01-11 |
1003990615 | Tim R Tarkenton | Obstetrics & Gynecology | 220 Sw 26th Ave, Mineral Wells, TX 76067 | 2006-10-24 |
Find all providers in zip 76067 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
City | MINERAL WELLS |
Zip Code | 76067 |
Please comment or provide details below to improve the information on MINERAL WELLS MEDICAL SUPPLY, INC.
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.