Organization Active NPI

Medical Super Center

  • Durable Medical Equipment & Medical Supplies
  • Sun City, AZ
National Provider Identifier
1124335013
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL SUPER CENTER
Practice address
10001 W Bell Rd
104
Sun City, AZ 85351-1282
Phone
(623) 209-2922
Fax
(623) 209-2924
NPI assigned
Sep 13, 2010
Organization subpart
Yes
Parent organization
MEDASSURE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Karen Martin
Title
VP
Phone
(602) 470-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10001 W Bell Rd
104
Sun City, AZ 85351-1282

Mailing address

5246 S 40TH St
Phoenix, AZ 85040-9009
Phone (602) 470-9700

National Provider Directory

National Provider Directory
Part of
Medassure Inc

Locations

10001 W Bell Rd
Ste 104
Sun City, AZ 85351
Phone (623) 209-2922

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1124335013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 S 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850409009",
            "telephone_number": "602-470-9700",
            "fax_number": "602-454-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 W BELL RD",
            "address_2": "104",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511282",
            "telephone_number": "623-209-2922",
            "fax_number": "623-209-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDASSURE INC",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "602-470-9700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.