THERAPY SUPPORT INC NPI 1417904814

NPI Information

NPI: 1417904814
Provider Name: THERAPY SUPPORT INC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
2803 N OAK GROVE AVE
SPRINGFIELD, MO
ZIP 65803
Phone: (417) 887-5873
Get Directions

THERAPY SUPPORT INC is an oxygen equipment and supplies durable medical equipment medical supplies in Springfield, MO. THERAPY SUPPORT INC NPI is 1417904814. The provider is registered as an organization entity type.

The provider's business location address is:

2803 N OAK GROVE AVE
SPRINGFIELD, MO
ZIP 65803-976
Phone: (417) 887-5873
Fax: (417) 380-5205

The provider's authorized official is Ruscell D Pavlin .
The authorized official title is 3m Director and has the following contact phone number (417) 380-5105.

The enumeration date for this NPI number is 5/30/2006 and was last updated on 8/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	156142	OTHER	OHIO	ANTHEM
2	628955205	MEDICAID	MISSOURI
3	160813	OTHER	MISSOURI	BCBS
4	1190450001	MEDICARE NSC	MISSOURI
5	2043998	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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