Life Source Medical Supply, Inc.
Durable Medical Equipment & Medical Supplies
1119 W Douglas Ave, Wichita
Kansas, 67213-4017
316-260-9314 316-260-9316
Life Source Medical Supply, Inc. is a Durable Medical Equipment & Medical Supplies in Wichita, Kansas. It is located at 1119 W Douglas Ave, Wichita and it's customer support contact number is 316-260-9314. The authorized person of Life Source Medical Supply, Inc. is Mr. David Rose who is Managing Director of this DME and his contact number is 316-260-9314.
Life Source Medical Supply, Inc. 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:
Life Source Medical Supply, Inc. 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: | Life Source Medical Supply, Inc. |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1119 W Douglas Ave, Wichita,
Kansas, 67213-4017 |
| Phone: | 316-260-9314 |
| Fax: | 316-260-9316 |
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: | Mr. David Rose |
| Position: | Managing Director |
| Contact Number: | 316-260-9314 |
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: | 1578743837 |
| NPI Enumeration Date: | 05 Nov, 2007 |
| NPI Last Update On: | 21 Jun, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Life Source Medical Supply, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
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 |
| 200532650A | Medicaid | Kansas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1119 W Douglas Ave,
Wichita, Kansas |
| Zip: | 67213-4017 |
| Phone Number: | 316-260-9314 |
| Fax Number: | 316-260-9316 |
Patients can reach Life Source Medical Supply, Inc. at
1119 W Douglas Ave, Wichita, Kansas or can
call on customer care at 316-260-9314.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.