East Metro Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EAST METRO MEDICAL SUPPLY, INC

Practice address

217 Como Ave Ste 169
Saint Paul, MN 55103-1838

Phone

(651) 202-3654

Fax

(651) 756-1322

NPI assigned

Sep 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Chaleunsouk Vang

Title

Ceo

Phone

(651) 280-0356

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1609201433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 COMO AVE STE 169",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031838",
            "telephone_number": "651-202-3654",
            "fax_number": "651-756-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 COMO AVE STE 169",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031838",
            "telephone_number": "651-202-3654",
            "fax_number": "651-756-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST METRO MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "CHALEUNSOUK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-280-0356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East African Social Center
• East Metro Family Practice PA
• East Metro Family Practice, P.a.
• East Metro Family Practice, P.a.
• East Metro Family Practice, P.a.
• East St Paul Health PA
• Janet Ruth Easterday, RN, FNP
• Michael Eric Eastman, D.O.
• Eastside Home Health Care Corporation
• Christine Ann Eaton, RN

• All providers in Saint Paul, MN
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.