Northgate HME HLTH Cre in

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

277 Issued in AL

Legal business name

NORTHGATE HME HLTH CRE IN

Practice address

3522 Cloverdale Rd
Florence, AL 35633-1339

Phone

(256) 767-2273

Fax

(256) 767-2273

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Robert L Edwards, RPH

Title

President

Phone

(256) 767-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1053499152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331339",
            "telephone_number": "256-767-2273",
            "fax_number": "256-767-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331339",
            "telephone_number": "256-767-2273",
            "fax_number": "256-767-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHGATE HME HLTH CRE IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-767-2273",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3558427",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "56514",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Florence, AL
• Providers in Florence, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.