State Medical Supply Provider, Inc
Durable Medical Equipment & Medical Supplies
9109 Lackland Rd, Saint Louis
Missouri, 63114-5410
314-426-5903 314-890-2110
State Medical Supply Provider, Inc is a Durable Medical Equipment & Medical Supplies in Saint Louis, Missouri. It is located at 9109 Lackland Rd, Saint Louis and it's customer support contact number is 314-426-5903. The authorized person of State Medical Supply Provider, Inc is Mr. David Senderovich who is Pesident of this DME and his contact number is 314-426-5903. Active license number of State Medical Supply Provider, Inc is 17769558 for Durable Medical Equipment & Medical Supplies in Missouri. State Medical Supply Provider, Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
State Medical Supply Provider, 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:
State Medical Supply Provider, 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: | State Medical Supply Provider, Inc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 9109 Lackland Rd, Saint Louis,
Missouri, 63114-5410 |
| Phone: | 314-426-5903 |
| Fax: | 314-890-2110 |
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 Senderovich |
| Position: | Pesident |
| Contact Number: | 314-426-5903 |
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: | 1720290281 |
| NPI Enumeration Date: | 04 May, 2007 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Medical Supply Provider, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 17769558 | Missouri | Primary | |
Medicare Enrollment:
State Medical Supply Provider, Inc 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 |
| 1254543580 | O20100930066531 | State Medical Supply Provider, Inc | DME SUPPLIER - MEDICAL SUPPLY COMPANY |
Products Available:
State Medical Supply Provider, Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Diabetic Shoes & Inserts: Prefabricated |
| • Heat & Cold Applications | • Hospital Beds: Electric |
| • Hospital Beds: Manual | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Patient Lifts |
| • Power Operated Vehicles (scooters) | • Seat Lift Mechanisms |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Transcutaneous Electrical Nerve Stimulators (tens) Units |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
| • Commodes, Urinals, Bedpans | • Hospital Bed |
| • Support Surfaces (group 1 & 2) | |
Medicare Competitive Bidding Program:
State Medical Supply Provider, Inc participates in medicare competitive bidding program for DME suppliers which means State Medical Supply Provider, Inc has been thoroughly screened by medicare to make sure they meet medicare DME supplier requirements such as quality, accreditation standards etc.
| CBSA ID: |
CBSA Name: | State |
| 23240 | East St. Louis, IL | Illinois |
| 23580 | St. Louis, MO | Missouri |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9109 Lackland Rd,
Saint Louis, Missouri |
| Zip: | 63114-5410 |
| Phone Number: | 314-426-5903 |
| Fax Number: | 314-890-2110 |
Patients can reach State Medical Supply Provider, Inc at
9109 Lackland Rd, Saint Louis, Missouri or can
call on customer care at 314-426-5903.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.