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NPI 1275804387 · Durable Medical Equipment & Medical Supplies · Buchanan, VA
Provider details
- NPI number
- 1275804387
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Amity Fellowserve Inc. Dba Kissito Healthcare
- Organization subpart
- Yes
- Authorized official
- John Surprenant, Ceo(540) 254-6627
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1481 Little Timber Rdg
Buchanan, VA 24066-4840
Phone: (540) 254-6627
Fax: (540) 254-6630
Street-level locationGet directions
Mailing address
1481 Little Timber Rdg
Buchanan, VA 24066-4840
Registry dates
- Enumerated
- 2012-01-20
- Last updated
- 2012-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.