Organization
THERAPY SUPPORT INC
Active
Parent organization
NATIONAL HME
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL HME
Authorized official
MRS. RUSCELL D PAVLIN (3M DIRECTOR)
(417) 380-5105
Entity
Organization
Contact information
Practice address
2803 N OAK GROVE AVE, SPRINGFIELD, MO 65803-4976
(417) 887-5873
(417) 380-5205
Mailing address
2803 N OAK GROVE AVE, SPRINGFIELD, MO 65803-4976
(417) 887-5873
(417) 380-5205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156142
ANTHEM
OH
01
—
160813
BCBS
MO
05
—
2043998
—
OH
05
—
628955205
—
MO
Enumeration date
05/30/2006
Last updated
08/24/2016
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