Organization Active NPI

Rose Medical Equipment, Inc

  • Durable Medical Equipment & Medical Supplies
  • Natchez, MS
National Provider Identifier
1073696035
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8313151 Issued in MS
Legal business name
ROSE MEDICAL EQUIPMENT, INC
Practice address
261 D' Evereaux Dr
Ste. 20
Natchez, MS 39120-3783
Phone
(601) 442-0087
Fax
(601) 445-7473
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Authorized official

Name
Rose Johnson
Title
Owner
Phone
(601) 446-8907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8313151 MS Primary

Addresses

Primary practice location

261 D' Evereaux Dr
Ste. 20
Natchez, MS 39120-3783

Mailing address

2825 Roselawn Dr
Natchez, MS 39120-4048
Phone (601) 442-0087

Other identifiers 2

IdentifierTypeStateIssuer
03270775MedicaidMS
1304913MedicaidLA

National Provider Directory

National Provider Directory

Locations

261 Devereaux Dr
Ste 20
Natchez, MS 39120
Phone (601) 442-0087

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1073696035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 ROSELAWN DR",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204048",
            "telephone_number": "601-442-0087",
            "fax_number": "601-445-7473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 D' EVEREAUX DR",
            "address_2": "STE. 20",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203783",
            "telephone_number": "601-442-0087",
            "fax_number": "601-445-7473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-446-8907"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "8313151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03270775",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1304913",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.