Elite Medical Supply
Organization Active NPI Durable Medical Equipment & Medical Supplies · Jackson, MO
NPI 1043726896 · NPPES record last updated Dec 15, 2017
Key facts
- NPI
- 1043726896
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ELITE MEDICAL SUPPLY
- Practice address
- 1166 Greenway Dr Ste A3
Jackson, MO 63755-2919 - Phone
- (573) 987-0297
- Fax
- (573) 987-0298
- NPI assigned
- Dec 15, 2017
- Organization subpart
- No
Authorized official
- Name
- Richard Arron Surface
- Title
- Owner
- Phone
- (573) 987-0297
National Provider Directory
Locations
1166 Greenway Dr
Ste A3
Jackson, MO 63755
Phone (573) 987-0297
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MO | Yes |
Addresses
Primary practice location
1166 Greenway Dr Ste A3
Jackson, MO 63755-2919
Mailing address
1166 Greenway Dr Ste A3
Jackson, MO 63755-2919
Phone (573) 987-0297
Other providers in Jackson, MO
- Cassandra Lashea Doss
- Violet Mary Doyen
- Jerrell Lee Driver
- Samuel Duer
- Jenny M Eichhorn
- Marcy A Emmons
- Geoffrey Lee Enders
- E J Eskew
- Robert Etherton
- Evermore Psychotherapy
All providers in Jackson, MO · Durable Medical Equipment & Medical Supplies in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.