Southside Medical Supply, Llc
Durable Medical Equipment & Medical Supplies
1900 S. Clinton Ave. Ste 320, Rochester
New York, 14618-5719
585-271-7141 585-419-6163
Southside Medical Supply, Llc is a Durable Medical Equipment & Medical Supplies in Rochester, New York. It is located at 1900 S. Clinton Ave. Ste 320, Rochester and it's customer support contact number is 585-271-7141. The authorized person of Southside Medical Supply, Llc is Ms. Kelly A Doles who is Billing Manager of this DME and her contact number is 585-770-2281.
Southside Medical Supply, 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:
Southside Medical Supply, 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: | Southside Medical Supply, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1900 S. Clinton Ave. Ste 320, Rochester,
New York, 14618-5719 |
| Phone: | 585-271-7141 |
| Fax: | 585-419-6163 |
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: | Ms. Kelly A Doles |
| Position: | Billing Manager |
| Contact Number: | 585-770-2281 |
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: | 1568413656 |
| NPI Enumeration Date: | 13 May, 2006 |
| NPI Last Update On: | 25 Nov, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southside Medical Supply, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
| Prosthetic/orthotic Supplier | | | 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 |
| 182719GD | Other | New York | Preferred Care |
| 84V | Medicaid | New York | |
| 7273762 | Other | New York | Aetna Health, Inc |
| 02742689 | Medicaid | New York | |
| P0170059SS | Other | New York | Excellus Blue Cross |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1900 S. Clinton Ave Ste 320 Roch. Ny 14618,
Rochester, New York |
| Zip: | 14618-5719 |
| Phone Number: | 585-271-7141 |
| Fax Number: | 585-419-6163 |
Patients can reach Southside Medical Supply, Llc at
1900 S. Clinton Ave. Ste 320, Rochester, New York or can
call on customer care at 585-271-7141.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.