Look up the most recent NPI and PECOS records

Provider Plus, Inc

Durable Medical Equipment & Medical Supplies

Suppliers

769 N Westwood Blvd, Poplar Bluff, MO 63901-4724

PECOS Enrollment

Based on the most recent information from CMS, provider Provider Plus, Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1649227463
Provider Type
Organization
Full Name
Provider Plus, Inc

Subpart
No
Enumeration Date
5/27/2006
Last Updated
3/14/2023

Contact Information

Practice Location

769 N Westwood Blvd, Poplar Bluff, MO 63901-4724

(573) 686-1589

(573) 686-1629

Mailing Location

220 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1437

Unlisted Phone

Unlisted Fax

Authorized Official

Griggs, Stephen (Ceo)

(407) 206-0040

Provider Taxonomies

Code	Description	License
Code 332B00000X Primary	Description Durable Medical Equipment & Medical Supplies Suppliers	License 14868971 Missouri

Provider Identifiers

ID	Description	Issuer
ID 629892803	Description Medicaid	Issuer Unlisted Missouri
ID =========	Description Medicaid	Issuer Unlisted Illinois

Provider Plus, Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

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