Organization Active NPI

PHM Corporation

  • Durable Medical Equipment & Medical Supplies
  • Monroe, LA
National Provider Identifier
1104049006
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHM CORPORATION
Practice address
300 Washington St
Monroe, LA 71201-6714
Phone
(318) 361-9555
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. L. Michael Ashbrook
Title
Owner
Phone
(318) 361-9555

Specialties & licenses 1

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

Addresses

Primary practice location

300 Washington St
Monroe, LA 71201-6714

Mailing address

PO Box 13524
Alexandria, LA 71315-3524
Phone (318) 445-4477

Other identifiers 2

IdentifierTypeStateIssuer
1961221MedicaidLA
C9551OtherLABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

300 Washington St
Monroe, LA 71201
Phone (318) 361-9555

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104049006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13524",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713153524",
            "telephone_number": "318-445-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016714",
            "telephone_number": "318-361-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASHBROOK",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-361-9555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1961221",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "C9551",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.