OrganizationDelta Medical Supply, Inc.Durable Medical Equipment & Medical SuppliesSuppliersPractice Address11734 Lackland Industrial Dr, Saint Louis, MO 63146-4209(314) 423-3165PECOS EnrollmentBased on the most recent information from CMS, provider Delta Medical Supply, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1326095985Provider TypeOrganizationFull NameDelta Medical Supply, Inc.SubpartNoEnumeration Date5/28/2006Last Updated6/10/2021Contact InformationPractice LocationPractice Address11734 Lackland Industrial Dr, Saint Louis, MO 63146-4209Phone(314) 423-3165Fax(314) 423-3143Mailing LocationMailing Address11734 Lackland Industrial Dr, Saint Louis, MO 63146-4209Phone(314) 423-3165Fax(314) 423-3143Authorized OfficialNameFischer, June Ellen (Owner)Phone(913) 638-8368Provider TaxonomiesCodeDescriptionLicenseCode332B00000XPrimaryDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID625094503DescriptionMedicaidIssuerUnlistedMissouriID133460DescriptionOtherIssuerBC/BSMissouri