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BOARDMAN MEDICAL SUPPLY CO
NPI 1164582748
Durable Medical Equipment & Medical Supplies in Canton, OH

Active since December 12, 2006
1204 30TH ST NW, CANTON, OH 44709(330) 492-4300(330) 492-7886 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Apr 11, 2018, Mar 9, 2018 (3 updates tracked since 2018).

About Boardman Medical Supply Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOARDMAN MEDICAL SUPPLY CO (NPI 1164582748) is a healthcare organization registered as a durable medical equipment & medical supplies in Canton, Ohio and active in the NPI registry since December 2006. The organization lists Robin S Ivany, Vice President/gm, as its authorized official.

NPPES Registry Identity

NPI1164582748
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBOARDMAN MEDICAL SUPPLY CO
Location Address1204 30TH ST NWCanton, OH 44709-2923
Mailing Address300 N State StGirard, OH 44420-2538 · (330) 545-6700 · Fax (330) 545-5555
Phone(330) 492-4300
Fax(330) 492-7886
Organization SubpartNo
Authorized OfficialRobin S IvanyVice President/gm · (330) 545-6700
Enumeration DateDecember 12, 2006
Last NPPES UpdateDecember 8, 20203 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1164582748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1204 30TH ST NW, Canton, OH 44709
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Other Identifiers 1

Medicaid2627741OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boardman Medical Supply Co's NPI number?

The NPI number for Boardman Medical Supply Co is 1164582748. It was assigned to this organization in the NPPES registry on December 12, 2006.

Where is Boardman Medical Supply Co located?

Boardman Medical Supply Co is located at 1204 30th St NW, Canton, OH 44709. The listed phone number is (330) 492-4300.

What is Boardman Medical Supply Co's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Boardman Medical Supply Co accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Boardman Medical Supply Co as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boardman Medical Supply Co was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.