Apalachee Medical Supply & Mobility Inc

Organization Active NPI Oxygen Equipment & Supplies (DME) · Greensboro, GA

NPI 1003046673 · NPPES record last updated Jul 17, 2009

Key facts

NPI
1003046673
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
Legal business name
APALACHEE MEDICAL SUPPLY & MOBILITY INC
Practice address
1000 Cowles Clinic Way
Aspen Building a-200
Greensboro, GA 30642
Phone
(877) 523-1062
Fax
(678) 374-4331
NPI assigned
Jul 17, 2009
Organization subpart
No

Authorized official

Name
Mr. Chris Miller
Title
President
Phone
(706) 999-1751

National Provider Directory

Locations

1000 Cowles Clinic Way
Ste A-200
Greensboro, GA 30642
Phone (706) 485-7454

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Yes

Addresses

Primary practice location

1000 Cowles Clinic Way
Aspen Building a-200
Greensboro, GA 30642

Mailing address

PO Box 1314
Monroe, GA 30655-1314
Phone (706) 999-1751

Other identifiers

IdentifierTypeStateIssuer
464084395AMedicaidGA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2009.

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1003046673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1314",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551314",
            "telephone_number": "706-999-1751",
            "fax_number": "678-374-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINIC WAY",
            "address_2": "ASPEN BUILDING A-200",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "30642",
            "telephone_number": "877-523-1062",
            "fax_number": "678-374-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APALACHEE MEDICAL SUPPLY & MOBILITY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-999-1751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "464084395A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

All providers in Greensboro, GA · Oxygen Equipment & Supplies (DME) in Georgia

Sources for this page

Verify at the official NPI Registry.