Provider Demographics
NPI:1508653312
Name:SILVER STATE MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:SILVER STATE MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROCCO
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-960-2003
Mailing Address - Street 1:2550 S JONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-5302
Mailing Address - Country:US
Mailing Address - Phone:702-960-2003
Mailing Address - Fax:
Practice Address - Street 1:2550 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-5302
Practice Address - Country:US
Practice Address - Phone:702-960-2003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-23
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies