IMPACT MEDICAL SUPPLIES AND SERVICES, LLC.
NPI 1700433067
Durable Medical Equipment & Medical Supplies in Bushnell, FL

NPI Status: Active since August 21, 2019

Contact Information

990 N MAIN ST
BUSHNELL, FL
ZIP 33513
Phone: (525) 691-2883
Fax: (352) 608-9269

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About IMPACT MEDICAL SUPPLIES AND SERVICES, LLC.

This page provides the complete NPI Profile along with additional information for Impact Medical Supplies And Services, Llc., a provider established in Bushnell, Florida operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1700433067 assigned on August 2019. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Judy R Carelock (Owner)

NPI
1700433067
Provider Name
IMPACT MEDICAL SUPPLIES AND SERVICES, LLC.
Entity Type
Organization
Location Address
990 N MAIN ST BUSHNELL, FL 33513
Location Phone
(525) 691-2883
Location Fax
(352) 608-9269
Mailing Address
990 N MAIN ST BUSHNELL, FL 33513
Mailing Phone
(352) 569-1288
Mailing Fax
(352) 608-9269
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2019
Last Update Date
12-30-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Prosthetist

 
2332BC3200XSuppliers

Durable Medical Equipment & Medical Supplies
Customized Equipment

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUDY R CARELOCK

Authorized Official Title
OWNER
Authorized Official Phone
(352) 569-1288

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1700433067
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700836012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 8 + 3 + 6 + 0 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1700433067 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477266807 JUDY R CARELOCK
Individual
Specialist (Prosthetics Case Management)990 N MAIN ST
BUSHNELL, FL 33513
(352) 569-1288
1609581743IMPACT MEDICAL SUPPLIES AND SERVICES, LLC
Organization
Durable Medical Equipment & Medical Supplies990 N MAIN ST
BUSHNELL, FL 33513
(352) 569-1288

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700433067, enumerated in the NPI registry as an "organization" on August 21, 2019

The provider is located at 990 N Main St Bushnell, Fl 33513 and the phone number is (525) 691-2883

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

This NPI record was last updated on August 21, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.