Arizona Medsource Holdings Llc
Durable Medical Equipment & Medical Supplies
8260 E Raintree Dr Ste 202, Scottsdale
Arizona, 85260-2516
480-292-8496 866-561-8331
Arizona Medsource Holdings Llc is an authorized DME supplier for medicare equipment and products.Arizona Medsource Holdings Llc is a Durable Medical Equipment & Medical Supplies in Scottsdale, Arizona. It is located at 8260 E Raintree Dr Ste 202, Scottsdale and it's customer support contact number is 480-292-8496. The authorized person of Arizona Medsource Holdings Llc is Jackie Keene who is Owner of this DME and his contact number is 480-292-8496. Arizona Medsource Holdings Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Arizona Medsource Holdings Llc is 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.
DME Supplier Details:
Arizona Medsource Holdings Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Arizona Medsource Holdings Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 8260 E Raintree Dr Ste 202, Scottsdale, Arizona, 85260-2516 |
| Phone: | 480-292-8496 |
| Fax: | 866-561-8331 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Jackie Keene |
| Position: | Owner |
| Contact Number: | 480-292-8496 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1821091158 |
| NPI Enumeration Date: | 31 May, 2005 |
| NPI Last Update On: | 06 Sep, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Arizona Medsource Holdings Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | Arizona | Primary | |
| Oxygen Equipment & Supplies | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | 07502892T | Arizona | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 324541 | Medicaid | Arizona | |
Medicare Enrollment:
Arizona Medsource Holdings Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7113228081 | O20151217002391 | Arizona Medsource Holdings Llc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 14747 N Northsight Blvd Ste 111 Pmb 328, Ssottsdale, Arizona |
| Zip: | 85260 |
| Phone Number: | 480-292-8496 |
| Fax Number: | 866-561-8331 |
Patients can reach Arizona Medsource Holdings Llc at
8260 E Raintree Dr Ste 202, Scottsdale, Arizona or can
call on customer care at 480-292-8496.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.