Promedcare, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

PROMEDCARE, INC.

Practice address

3100 23Rd St
Suite 4
Columbus, NE 68601-3161

Phone

(402) 564-7900

Fax

(402) 564-7904

NPI assigned

Jun 11, 2014

Organization subpart

No

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

Authorized official

Name

Tiffany Foxhoven

Title

Owner/VP

Phone

(402) 727-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1114331774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 E 22ND ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252633",
            "telephone_number": "402-727-7900",
            "fax_number": "402-727-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 23RD ST",
            "address_2": "SUITE 4",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686013161",
            "telephone_number": "402-564-7900",
            "fax_number": "402-564-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "FOXHOVEN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER/VP",
        "authorized_official_telephone_number": "402-727-7900"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11689277",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Columbus, NE
• Providers in Columbus, NE by specialty
• Oxygen Equipment & Supplies (DME) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.