Organization Active NPI

Medco, LLC

Doing business as SEMO Medical Equipment

  • Oxygen Equipment & Supplies (DME)
  • Cape Girardeau, MO
National Provider Identifier
1013232024
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MEDCO, LLC
Doing business as
SEMO Medical Equipment
Practice address
254 S. Mount Auburn Rd.
Cape Girardeau, MO 63703-4918
Phone
(573) 334-5994
Fax
(573) 334-6250
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kenneth C Martin
Title
Organizer
Phone
(573) 334-5994

Specialties & licenses 1

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

Addresses

Primary practice location

254 S. Mount Auburn Rd.
Cape Girardeau, MO 63703-4918

Mailing address

254 S. Mount Auburn Rd.
Cape Girardeau, MO 63703-4918
Phone (573) 334-5994

Other names 1

  • SEMO Medical Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

254 S Mount Auburn Rd
Cape Girardeau, MO 63703
Phone (573) 334-5994

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1013232024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 S. MOUNT AUBURN RD.",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034918",
            "telephone_number": "573-334-5994",
            "fax_number": "573-334-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 S. MOUNT AUBURN RD.",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034918",
            "telephone_number": "573-334-5994",
            "fax_number": "573-334-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "573-334-5994",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEMO Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.