Provider Demographics
NPI:1679553267
Name:TRIBUTE COMPANIES, INC.
Entity Type:Organization
Organization Name:TRIBUTE COMPANIES, INC.
Other - Org Name:TRIBUTE MEDICAL SUPPLY, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-454-0100
Mailing Address - Street 1:1118 INTERSTATE HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75402-4309
Mailing Address - Country:US
Mailing Address - Phone:903-454-0100
Mailing Address - Fax:903-454-3947
Practice Address - Street 1:1118 INTERSTATE HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:TX
Practice Address - Zip Code:75402-4309
Practice Address - Country:US
Practice Address - Phone:903-454-0100
Practice Address - Fax:903-454-3947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
TX0030800332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010050501Medicaid
0897540001Medicare NSC
TX010050501Medicaid
0897540001Medicare NSC