Organization
THERAPY SUPPORT, INC
Active
Parent organization
NATIONAL HME
Organization subpart
Yes
Provider details
NPI number
Legal business name
NATIONAL HME
Authorized official
RUSCELL D PAVLIN (3M DIRECTOR)
(417) 380-5105
Entity
Organization
Contact information
Practice address
6610 FAIRFIELD DR, SUITE C, NORTHWOOD, OH 43619-7513
(877) 885-4325
(419) 661-1841
Mailing address
2803 N OAK GROVE AVE, SPRINGFIELD, MO 65803-4976
(417) 887-5873
(417) 380-5205
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
02-1588800
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156142
ANTHEM BC/BS
OH
01
—
160813
ANTHEM BC/BS
MO
01
—
160813
ANTHEM SR. ADVANTAGE
OH
05
—
2043998
—
OH
01
—
612577100
US DEPT OF LABOR
OH
Enumeration date
02/21/2008
Last updated
08/24/2016
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