Active NPI
Medical Supplies Inc.
- Durable Medical Equipment & Medical Supplies
- Waterville, ME
National Provider Identifier
1831122613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0149253
- Legal business name
- MEDICAL SUPPLIES INC.
- Practice address
- 146 Kennedy Memorial Dr
Waterville, ME 04901-5133 - Phone
- (207) 873-6151
- Fax
- (207) 873-3199
- NPI assigned
- Jul 8, 2006
- 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
- Mr. Richard D Upham
- Title
- President
- Phone
- (207) 873-6151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0149253 | ME | Primary |
Addresses
Primary practice location
146 Kennedy Memorial Dr
Waterville, ME 04901-5133
Mailing address
146 Kennedy Memorial Dr
Waterville, ME 04901-5133
Phone (207) 873-6151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106250000 | Medicaid | ME | |
| 002610 | Other | ME | ANTHEM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1831122613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 KENNEDY MEMORIAL DR",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015133",
"telephone_number": "207-873-6151",
"fax_number": "207-873-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 KENNEDY MEMORIAL DR",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015133",
"telephone_number": "207-873-6151",
"fax_number": "207-873-3199"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SUPPLIES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "UPHAM",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "207-873-6151",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "ME",
"license": "0149253",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106250000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "002610",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.