Acg Medical Supply Incorporated
Organization Active NPI Durable Medical Equipment & Medical Supplies · Rowlett, TX
NPI 1972506350 · NPPES record last updated Dec 8, 2021
Key facts
- NPI
- 1972506350
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 0040125 (TX)
- Legal business name
- ACG MEDICAL SUPPLY INCORPORATED
- Practice address
- 3502A Lakeview Pkwy
Rowlett, TX 75088-4005 - Phone
- (972) 463-0737
- Fax
- (972) 463-0920
- NPI assigned
- May 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. David Gary Gampher
- Title
- President
- Phone
- (972) 463-0737
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Acg Medical Supply Inc |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or … | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930003275 | TX | DME Supplier - Medical Supply Company | 1759402266 | Practice locations: Rowlett, TX |
National Provider Directory
- Tax ID family
- Acg Medical Supply Incorporated
Locations
3502A Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 463-0737
3502 Lakeview Pkwy
#A
Rowlett, TX 75088
Phone (972) 463-0737
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0040125 | TX | Yes |
Addresses
Primary practice location
3502A Lakeview Pkwy
Rowlett, TX 75088-4005
Mailing address
3502 Lakeview Pkwy
Suite a
Rowlett, TX 75088-4005
Phone (972) 463-0737
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160948901 | Medicaid | TX | |
| 160949701 | Medicaid | TX | |
| 530962 | Other | TX | BLUE CROSS BLUE SHIELD |
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All providers in Rowlett, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.