Active NPI
Well Health Supply Co
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
National Provider Identifier
1578320933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241230000291 | AZ | DME Supplier - Medical Supply Company | 7911434147 | Practice locations: Tucson, AZ |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| A. Well Health Supply | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.