Active NPI
Apm Providers, Inc
- Durable Medical Equipment & Medical Supplies
- Jacksonville Beach, FL
National Provider Identifier
1114996402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- NOT REQUIRED
- Legal business name
- APM PROVIDERS, INC
- Practice address
- 1823 3Rd St N
Jacksonville Beach, FL 32250-7469 - Phone
- (904) 241-5310
- Fax
- (904) 247-9145
- NPI assigned
- Mar 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas C Walt
- Title
- General Manager
- Phone
- (904) 241-5310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NOT REQUIRED | FL | Primary |
Addresses
Primary practice location
1823 3Rd St N
Jacksonville Beach, FL 32250-7469
Mailing address
PO Box 51582
Jacksonville Beach, FL 32240-1582
Phone (904) 241-5310
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440587 | Medicaid | MS | |
| R8467 | Other | FL | BC/BS PROVIDER# |
| 00719672A | Medicaid | GA | |
| 1684716 | Medicaid | LA | |
| 7701843 | Medicaid | NC | |
| DM0962 | Medicaid | SC | |
| 0226824000 | Medicaid | WV |
National Provider Directory
National Provider DirectoryLocations
1823 3rd St N
Jacksonville Beach, FL 32250
Phone (904) 241-5310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1114996402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51582",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322401582",
"telephone_number": "904-241-5310",
"fax_number": "904-247-9145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 3RD ST N",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322507469",
"telephone_number": "904-241-5310",
"fax_number": "904-247-9145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APM PROVIDERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "WALT",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "904-241-5310",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "NOT REQUIRED",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440587",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER#",
"identifier": "R8467",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00719672A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1684716",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701843",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DM0962",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0226824000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.