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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 464084395A | Medicaid | GA |
NPI Registry JSON
{
"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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.