Active Medical Support, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Gretna, LA
NPI 1487724654 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1487724654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- ACTIVE MEDICAL SUPPORT, LLC
- Practice address
- 433 12TH St
Gretna, LA 70053-5525 - Phone
- (504) 304-8424
- Fax
- (504) 365-7301
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Scot Michael Wright, RN
- Title
- Owner
- Phone
- (504) 304-8424
Practitioners 1
National Provider Directory
Locations
433 12th St
Gretna, LA 70053
Phone (504) 304-8424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | LA | Yes |
Addresses
Primary practice location
433 12TH St
Gretna, LA 70053-5525
Mailing address
433 12TH St
Gretna, LA 70053-5525
Phone (504) 304-8424
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1310093 | Medicaid | LA |
Other providers in Gretna, LA
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- Accurate Durable Medical Equipment and Medical Supplies
- Anshul S Acharya
- Acts Home Health Care, Inc.
- Acute and Chronic Treatment Center Inc
- Michael Gary Adams
- Terri Lynn Adams
- Catherine Suzzette Addison
All providers in Gretna, LA · Durable Medical Equipment & Medical Supplies in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.