Organization Active NPI

Marvin Gill & Assoc

  • Durable Medical Equipment & Medical Supplies
  • Clarendon, TX
National Provider Identifier
1104803428
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0044614 Issued in TX
Legal business name
MARVIN GILL & ASSOC
Practice address
304 S Kearney St
Clarendon, TX 79226-0276
Phone
(806) 874-0248
Fax
(806) 874-0250
NPI assigned
Dec 28, 2005
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
Mrs. Carolyn Sue Gill
Title
Owner President
Phone
(806) 874-0248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0044614 TX Primary

Addresses

Primary practice location

304 S Kearney St
Clarendon, TX 79226-0276

Mailing address

304 S Kearney St
PO Box 276
Clarendon, TX 79226-0276
Phone (806) 874-0248

Other names 1

  • Med Link Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104803428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S KEARNEY ST",
            "address_2": "PO BOX 276",
            "city": "CLARENDON",
            "state": "TX",
            "postal_code": "792260276",
            "telephone_number": "806-874-0248",
            "fax_number": "806-874-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S KEARNEY ST",
            "city": "CLARENDON",
            "state": "TX",
            "postal_code": "792260276",
            "telephone_number": "806-874-0248",
            "fax_number": "806-874-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN GILL & ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "806-874-0248",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0044614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Link Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarendon, TX

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.