Millennium Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MILLENNIUM MEDICAL SUPPLY

Practice address

1741 S. 20TH Ave
Safford, AZ 85546-4012

Phone

(928) 348-0652

Fax

(928) 348-0695

NPI assigned

Apr 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Misty Claridge

Title

Vice-President

Phone

(928) 348-0652

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Michael Jacob

  • Contractor
  • Safford, AZ
  • NPI 1871626333
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1063535599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 S. 20TH AVE.",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464012",
            "telephone_number": "928-348-0652",
            "fax_number": "928-348-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 S. 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855464012",
            "telephone_number": "928-348-0652",
            "fax_number": "928-348-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "CLARIDGE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "928-348-0652"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Jo McCormies, FNP
• Raquel Mesa, RN
• Patrick Metz, LPC
• Mick G Drage LLC
• Silke Mildenberger
• Tanya Miller
• Shayleh Moffett, WHNP
• Bradford N. Montierth, M.D
• Jeanette Marcroft Montierth, LAC
• Tracy Jon Montierth, O.D.

• Durable Medical Equipment & Medical Supplies in Safford, AZ
• Providers in Safford, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.