Organization Active NPI

Chariton Health Systems Inc

Doing business as Community Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Boonville, MO
National Provider Identifier
1083858633
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
16242726 Issued in MO
Legal business name
CHARITON HEALTH SYSTEMS INC
Doing business as
Community Medical Equipment
Practice address
2539 Main St
Boonville, MO 65233-3481
Phone
(660) 882-9270
Fax
(660) 882-9277
NPI assigned
Apr 27, 2009
Last updated
Nov 15, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CHARITON HEALTH SYSTEMS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Authorized official

Name
Mr. Greg Speiser
Title
Ceo/Owner
Phone
(660) 338-9965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 16242726 MO Primary

Addresses

Primary practice location

2539 Main St
Boonville, MO 65233-3481

Mailing address

PO Box 51
101 South Weber
Salisbury, MO 65281-0051
Phone (660) 388-6308

Other identifiers 1

IdentifierTypeStateIssuer
628648305MedicaidMO

Other names 1

  • Community Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930047235 MO DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 1658492673 Practice locations: Boonville, MO

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Community Medical Equipment2539 Main St, Boonville, MO 65233-3481(660) 882-9270 Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Seat Lift Mechanisms|Walkers|Wheelchairs (S… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Part of
Chariton Health Systems Inc

Locations

2539 Main St
Boonville, MO 65233
Phone (660) 882-9270

475 Colonel Sanders Ln
Boonville, MO 65233
Phone (660) 882-9270

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1083858633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "address_2": "101 SOUTH WEBER",
            "city": "SALISBURY",
            "state": "MO",
            "postal_code": "652810051",
            "telephone_number": "660-388-6308",
            "fax_number": "660-388-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 MAIN ST",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652333481",
            "telephone_number": "660-882-9270",
            "fax_number": "660-882-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARITON HEALTH SYSTEMS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHARITON HEALTH SYSTEMS INC",
        "enumeration_date": "2009-04-27",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "SPEISER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "660-338-9965",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "16242726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628648305",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boonville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.