Provider Demographics
NPI:1871549469
Name:AREA MEDICAL SUPPLIES, INC.
Entity type:Organization
Organization Name:AREA MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:B
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-331-1400
Mailing Address - Street 1:1015 S MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:WOODVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75979-5609
Mailing Address - Country:US
Mailing Address - Phone:409-331-1400
Mailing Address - Fax:409-331-9180
Practice Address - Street 1:1015 S MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:WOODVILLE
Practice Address - State:TX
Practice Address - Zip Code:75979-5609
Practice Address - Country:US
Practice Address - Phone:409-331-1400
Practice Address - Fax:409-331-9180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0086418332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX336352501Medicaid
TX7069560001Medicare NSC
TX183613201Medicaid