My Family Medical, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

784978 Issued in WV

Legal business name

MY FAMILY MEDICAL, LLC

Practice address

1101 Hospital Dr
Suite 101
Hurricane, WV 25526-8711

Phone

(304) 757-1902

Fax

(304) 757-1904

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kelley Matusic

Title

Owner

Phone

(304) 757-1902

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1114932761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268711",
            "telephone_number": "304-757-1902",
            "fax_number": "304-757-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255268711",
            "telephone_number": "304-757-1902",
            "fax_number": "304-757-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "MATUSIC",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-757-1902",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "WV",
            "license": "784978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004760",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Oxygen Equipment & Supplies (DME) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.