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Supplemental Professional Resources, Inc.
Durable Medical Equipment & Medical Supplies in Lockport, New York
NPI 1972591311

Supplemental Professional Resources, Inc. is a Durable Medical Equipment & Medical Supplies based in Lockport, NY. Supplemental Professional Resources, Inc. practices in Lockport, NY. The NPI Number for Supplemental Professional Resources, Inc. is 1972591311 and holds a License No. 9969L001 (New York).

The current practice location address for Supplemental Professional Resources, Inc. is 3976 Lockport Olcott Rd, Lockport, NY and can be reached out via phone at 716-433-7810 and via fax at 716-433-7811.

Location: 3976 Lockport Olcott Rd, Lockport, NY, 14094-1133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972591311
Provider Name
Supplemental Professional Resources, Inc.
Credential
Provider Entity Type
Organization
Address
3976 Lockport Olcott Rd, Lockport, NY, 14094-1133
Phone Number
716-433-7810
Fax Number
716-433-7811
Provider Enumeration Date
10/10/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01879616 05 NY
8210096 01 NY IHA BILLING #
00011340201 01 NY UNIVERA BILLING #
000551258001 01 NY BCBS BILLING #
01779735 05 NY
institution
Provider Business Practice Location Address Details
Address
3976 Lockport Olcott Rd
City
Lockport
State
New York
Zip
14094-1133
Phone Number
716-433-7810
Fax Number
716-433-7811
person
Provider Business Mailing Address Details
Address
3976 Lockport Olcott Rd
City
Lockport
State
New York
Zip
14094-1133
Phone Number
716-433-7810
Fax Number
716-433-7811
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
9969L001 (New York)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
9969L001 (New York)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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