MAIN STREET VITAL CARE – NPI #1912001017
Durable Medical Equipment & Medical Supplies
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.
MAIN STREET VITAL CARE is a DME supplier located in NEWBERN, TN. NPPES has assigned the NPI number 1912001017 to MAIN STREET VITAL CARE on September 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MAIN STREET VITAL CARE” is a dba name, the actual legal business name for this organization is CHRISTY R NEWBAKER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 332B00000X from the Health Care Provider Taxonomy code set, which is classified as Durable Medical Equipment & Medical Supplies. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 18 years ago on Apr 20, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAIN STREET VITAL CARE below.
NPI Profile for
CHRISTY R NEWBAKER
(about 20 years ago)
NEWBERN, TN 38059 Phone: (731) 627-2221 Fax: (731) 627-6152
MERIDIAN, MS 39302-5047 Phone: (800) 447-4095 Fax: (601) 482-7490
OWNER
Phone: (731) 627-2221
Identifiers for MAIN STREET VITAL CARE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
See identifiers
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS HIT | TN | 4102343 |
| OTHER | BCBS SPECIALTY DME | TN | 4102341 |
| OTHER | TENNCARE | TN | 164127 |
| MEDICAID | TN | 1454920 | |
| MEDICAID | TN | 895 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 332B00000X - Durable Medical Equipment & Medical Supplies (Primary) |
TN | 0000000895 |
| 3336S0011X - Pharmacy / Specialty Pharmacy |
TN | 0000000895 |
| 3336M0002X - Pharmacy / Mail Order Pharmacy |
TN | 0000000895 |
| 3336L0003X - Pharmacy / Long Term Care Pharmacy |
TN | 0000000895 |
| 3336H0001X - Pharmacy / Home Infusion Therapy Pharmacy |
TN | 0000000895 |
| 3336C0003X - Pharmacy / Community/Retail Pharmacy |
TN | 0000000895 |
| 333600000X - Pharmacy |
TN | 0000000895 |
| 332BX2000X - Durable Medical Equipment & Medical Supplies / Oxygen Equipment & Supplies |
TN | 0000000895 |
| 332BP3500X - Durable Medical Equipment & Medical Supplies / Parenteral & Enteral Nutrition |
TN | 0000000895 |
| 332BC3200X - Durable Medical Equipment & Medical Supplies / Customized Equipment |
TN | 0000000895 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.