Organization Active NPI

Apm Providers, Inc

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville Beach, FL
National Provider Identifier
1114996402
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NOT REQUIRED Issued in FL
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

Updated by the provider on Apr 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00440587MedicaidMS
R8467OtherFLBC/BS PROVIDER#
00719672AMedicaidGA
1684716MedicaidLA
7701843MedicaidNC
DM0962MedicaidSC
0226824000MedicaidWV

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.