RICK'S MEDICAL SUPPLY INC NPI 1629558010

NPI Information

NPI: 1629558010
Provider Name: RICK'S MEDICAL SUPPLY, INC

Doing Business As: SUPERCARE HEALTH

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1934 NEWMARK ST STE C
NORTH BEND, OR
ZIP 97459
Phone: (541) 672-3042
Get Directions

RICK'S MEDICAL SUPPLY, INC is a durable medical equipment medical supplies in North Bend, OR. 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. RICK'S MEDICAL SUPPLY, INC NPI is 1629558010. The provider is registered as an organization entity type.
The provider Is Doing Business As Supercare Health.

The provider's business location address is:

1934 NEWMARK ST STE C
NORTH BEND, OR
ZIP 97459-274
Phone: (541) 672-3042
Fax: (541) 673-0715

The provider's authorized official is John Cassar .
The authorized official title is Ceo and has the following contact phone number (888) 260-2550.

The enumeration date for this NPI number is 8/15/2018 and was last updated on 2/9/2024.

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	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical 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	164590	MEDICAID	OREGON

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: 5/5/2024

NPI Synchronization or Removal

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