Home Medical Equipment Repair

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

034085855 Issued in SC

Legal business name

HOME MEDICAL EQUIPMENT REPAIR

Practice address

514 S Main St
Marion, SC 29571-4320

Phone

(843) 423-3900

Fax

(843) 423-1188

NPI assigned

Jul 7, 2007

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mack Davis Jr.

Title

Manager

Phone

(843) 423-3900

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1183766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1033317334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S MAIN ST",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295714320",
            "telephone_number": "843-423-3900",
            "fax_number": "843-423-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S MAIN ST",
            "city": "MARION",
            "state": "SC",
            "postal_code": "295714320",
            "telephone_number": "843-423-3900",
            "fax_number": "843-423-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL EQUIPMENT REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-07",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MACK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "843-423-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "034085855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2882",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMIES",
            "identifier": "332B00000X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Marion, SC
• Providers in Marion, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.