APPALACHIAN MEDICAL LLC (NPI# 1891299681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891299681 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN MEDICAL LLC |
| Practice Address |
418 Virginia St W Charleston WV 25302-2008 |
| Practice Telephone | 3043458501 |
| Practice Fax Number | 3043458501 |
| Mailing Telephone | 3043458501 |
| Mailing Fax Number | 3043458501 |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MR. ROBERT JOSEPH TANT (MEMBER/MANAGER) |
| Authorized Official Telephone | 3043891246 |
| Authorized Official Credential | ATP |
| Is Organization Subpart | Y |
| Parent Organization Name | ACTIVE MEDICAL LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
| Street Address |
418 VIRGINIA ST W |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| 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 |
|---|---|---|---|---|
| 1255938320 | Peninsula Cosmetic and Family Dentistry, Inc. | Durable Medical Equipment & Medical Supplies | 538 Savannah Hwy, Charleston, SC 29407-7210 | 2020-10-02 |
| 1174156061 | Dasco-camc Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2120 Pennsylvania Ave Ste 1, Charleston, WV 25302-4135 | 2020-02-19 |
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1669021770 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 1411 Folly Rd, Charleston, SC 29412-9562 | 2019-09-11 |
| 1114497435 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 10 Westedge St, Suite 100, Charleston, SC 29403 | 2018-11-29 |
| 1841765559 | Midwest Medical Associates, Inc. | Durable Medical Equipment & Medical Supplies | 211 King St Ste 103, Charleston, SC 29401-3184 | 2018-10-09 |
| 1821513235 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1812 Sam Rittenberg Blvd Ste 2, Charleston, SC 29407-4868 | 2017-08-07 |
| 1841721537 | Tac Med | Durable Medical Equipment & Medical Supplies | 1473 Ashley Garden Blvd, Charleston, SC 29414-9126 | 2017-03-23 |
| 1730540287 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 2093 Henry Tecklenburg Dr Ste 303e, Charleston, SC 29414-5743 | 2016-03-11 |
| 1922466200 | Valley Pharmacy Solutions LLC | Durable Medical Equipment & Medical Supplies | 3715 Maccorkle Ave Se, Charleston, WV 25304 | 2016-02-02 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25302 |
Please comment or provide details below to improve the information on APPALACHIAN MEDICAL 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.