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GREENWAY MEDICAL INC. NPI 1609865773


NPI Information

NPI: 1609865773
Provider Name: GREENWAY MEDICAL INC.

Doing Business As: DIABETES SOURCE RX

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
803 COOLIDGE BLVD
SUITE 128
LAFAYETTE, LA
ZIP 70503
Phone: (337) 267-7470
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GREENWAY MEDICAL INC. is a durable medical equipment medical supplies in Lafayette, LA. The provider is 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. GREENWAY MEDICAL INC. NPI is 1609865773. The provider is registered as an organization entity type.
The provider Is Doing Business As Diabetes Source Rx.

The provider's business location address is:

803 COOLIDGE BLVD
SUITE 128
LAFAYETTE, LA
ZIP 70503-376
Phone: (337) 267-7470
Fax: (866) 794-5729

The provider's authorized official is Molly Mouton .
The authorized official title is Vice President and has the following contact phone number (337) 267-7470.

The enumeration date for this NPI number is 10/20/2005 and was last updated on 4/23/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1519779OTHERTEXASBCBS OF TEXAS
2011633701MEDICAIDTEXAS
31467537MEDICAIDLOUISIANA
40974020001MEDICARE NSCLOUISIANA
5010164401MEDICAIDTEXAS
6G9723OTHERLOUISIANABCBS OF LOUISIANA

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

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