Active NPI
Medical Super Center
- Durable Medical Equipment & Medical Supplies
- Sun City, AZ
National Provider Identifier
1124335013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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 INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Oxygen Equipment & Supplies (DME)
- Phoenix, AZ
- NPI 1548252356
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.