Organization Active NPI

Ross Medical Supply Co Inc

  • Durable Medical Equipment & Medical Supplies
  • Moline, IL
National Provider Identifier
1295725059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ROSS MEDICAL SUPPLY CO INC
Practice address
4871 41St St
Moline, IL 61265-7582
Phone
(309) 797-9099
NPI assigned
Oct 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elise Rusk
Title
Chief Operating Officer
Phone
(309) 797-9099

Specialties & licenses 1

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

Addresses

Primary practice location

4871 41St St
Moline, IL 61265-7582

Mailing address

4871 41St St
Moline, IL 61265-7582
Phone (309) 797-9099

Other identifiers 1

IdentifierTypeStateIssuer
0951806OtherIAPUBLIC AID

National Provider Directory

National Provider Directory

Locations

4871 41st St
Moline, IL 61265
Phone (309) 797-9099

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295725059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4871 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657582",
            "telephone_number": "309-797-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 41ST ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657582",
            "telephone_number": "309-797-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSS MEDICAL SUPPLY CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSK",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "309-797-9099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PUBLIC AID",
            "identifier": "0951806",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.