Organization Active NPI

Well Health Supply Co

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
National Provider Identifier
1578320933
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WELL HEALTH SUPPLY CO
Practice address
4757 E Speedway Blvd Ste 110
Tucson, AZ 85712-4754
Phone
(520) 909-3494
NPI assigned
Mar 4, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Jennifer Bell
Title
Vice President
Phone
(520) 909-3494

Specialties & licenses 1

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

Addresses

Primary practice location

4757 E Speedway Blvd Ste 110
Tucson, AZ 85712-4754

Mailing address

4757 E Speedway Blvd Ste 110
Tucson, AZ 85712-4754
Phone (520) 909-3494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230000291 AZ DME Supplier - Medical Supply Company 7911434147 Practice locations: Tucson, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
A. Well Health Supply4757 E Speedway Blvd, Tucson, AZ 85712-4754(520) 909-3494 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Insulin Infusion Pumps and/or Supplies|Negative Pressure Wound Therapy Pumps/Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|… Accepts assignmentParticipating since Nov 6, 2024

National Provider Directory

National Provider Directory

Locations

4500 E Speedway Blvd
Ste 16
Tucson, AZ 85712

4757 E Speedway Blvd
Ste 110
Tucson, AZ 85712
Phone (520) 909-3494

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1578320933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4757 E SPEEDWAY BLVD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124754",
            "telephone_number": "520-909-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 E SPEEDWAY BLVD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124754",
            "telephone_number": "520-909-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL HEALTH SUPPLY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "520-909-3494"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.