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LIFE SOURCE MEDICAL SUPPLY, INC.
NPI 1578743837
Durable Medical Equipment & Medical Supplies in Wichita, KS

Active since November 05, 2007
1119 W DOUGLAS AVE, WICHITA, KS 67213(316) 260-9314(316) 260-9316 Get Directions Write a Review

NPPES record last updated: June 21, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Life Source Medical Supply, Inc. NPPES

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

LIFE SOURCE MEDICAL SUPPLY, INC. (NPI 1578743837) is a healthcare organization registered as a durable medical equipment & medical supplies in Wichita, Kansas and active in the NPI registry since November 2007. The organization lists David Rose, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1578743837
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLIFE SOURCE MEDICAL SUPPLY, INC.
Location Address1119 W DOUGLAS AVEWichita, KS 67213-4017
Mailing Address1119 W Douglas AveWichita, KS 67213-4017 · (316) 260-9314 · Fax (316) 260-9316
Phone(316) 260-9314
Fax(316) 260-9316
Organization SubpartNo
Authorized OfficialDavid RoseManaging Director · (316) 260-9314
Enumeration DateNovember 5, 2007
Last NPPES UpdateJune 21, 2011
✔ NPI 1578743837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1119 W DOUGLAS AVE, Wichita, KS 67213
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Other Identifiers 2

Medicare NSC6029220001KS
Medicaid200532650AKS

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 Life Source Medical Supply, Inc.'s NPI number?

The NPI number for Life Source Medical Supply, Inc. is 1578743837. It was assigned to this organization in the NPPES registry on November 5, 2007.

Where is Life Source Medical Supply, Inc. located?

Life Source Medical Supply, Inc. is located at 1119 W Douglas Ave, Wichita, KS 67213. The listed phone number is (316) 260-9314.

What is Life Source Medical Supply, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Life Source Medical Supply, Inc. was last updated on June 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.