Tri-State Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TRI-STATE MEDICAL SUPPLIES, INC

Doing business as

Diabetic Resource Specialists

Practice address

545 W Main St
Suite 305
Dothan, AL 36301-1654

Phone

(334) 671-3035

Fax

(334) 671-1195

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Ingrid Dione Trawick

Title

President

Phone

(334) 671-3035

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Diabetic Resource Specialists Doing business as

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1336107572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1032",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363021032",
            "telephone_number": "334-671-3035",
            "fax_number": "334-671-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W MAIN ST",
            "address_2": "SUITE 305",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011654",
            "telephone_number": "334-671-3035",
            "fax_number": "334-671-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "TRAWICK",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "DIONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-671-3035",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009944675",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "51516630",
            "identifier": "BCBS",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetic Resource Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tri-State Urology, P.C.
• Triad of Alabama LLC
• Triad of Alabama LLC
• Triad of Alabama LLC

• Durable Medical Equipment & Medical Supplies in Dothan, AL
• Providers in Dothan, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.