Emedtech Equipment and Supply Company

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

EMEDTECH EQUIPMENT AND SUPPLY COMPANY

Practice address

5220 E Parkway Dr
Beaumont, TX 77705-6039

Phone

(409) 201-4706

NPI assigned

May 5, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Alfred Charles Poullard

Title

Ceo/Founder

Phone

(409) 201-4706

Specialties & licenses 1

Addresses

Other names 1

• Esteem Medical & Technology Equipment & Supply Company Former legal business name

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1023464245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6391",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777250391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 E PARKWAY DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777056039",
            "telephone_number": "409-201-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMEDTECH EQUIPMENT AND SUPPLY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "POULLARD",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "409-201-4706",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Esteem Medical & Technology Equipment & Supply Company",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Karen Elizondo, RT (R)
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• Physical Disabilities Residential Treatment Facility in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Physical Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.