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FIVE STAR MEDICAL SUPPLIES LLC NPI 1720146996


NPI Information

NPI: 1720146996
Provider Name: FIVE STAR MEDICAL SUPPLIES, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1004 STATE ST
SUITE C
BETTENDORF, IA
ZIP 52722
Phone: (563) 332-1334
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FIVE STAR MEDICAL SUPPLIES, LLC is a durable medical equipment medical supplies in Bettendorf, IA. 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. FIVE STAR MEDICAL SUPPLIES, LLC NPI is 1720146996. The provider is registered as an organization entity type.

The provider's business location address is:

1004 STATE ST
SUITE C
BETTENDORF, IA
ZIP 52722-856
Phone: (563) 332-1334
Fax: (563) 332-1359

The provider's authorized official is Patrick M Anderson .
The authorized official title is President and has the following contact phone number (563) 332-1334.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 4/2/2008.


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
1332B00000XDurable Medical Equipment & Medical Supplies182038180IOWAYes

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
120064OTHERIOWABLUE CROSS BLUE SHIELD
20417774MEDICAIDIOWA
34700250001MEDICARE NSC
4336664976001MEDICAIDILLINOIS
5001596360OTHERILLINOISBLUE CROSS BLUE SHIELD

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

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