Organization Active NPI

Prime Medical Supply, Inc.

  • Customized Equipment (DME)
  • Billings, MT
National Provider Identifier
1124029962
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
PRIME MEDICAL SUPPLY, INC.
Practice address
1040 S 24TH St W
Billings, MT 59102-6406
Phone
(406) 252-7225
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Authorized official

Name
Lane K. Maddock, A.T.,C.
Title
President/Owner
Phone
(406) 252-7225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1040 S 24TH St W
Billings, MT 59102-6406

Mailing address

PO Box 50305
Billings, MT 59105-0305
Phone (406) 252-7225

Other identifiers 1

IdentifierTypeStateIssuer
0562094MedicaidMT

National Provider Directory

National Provider Directory

Locations

1040 S 24th St W
Billings, MT 59102
Phone (406) 252-7225

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1124029962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50305",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591050305",
            "telephone_number": "406-252-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S 24TH ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026406",
            "telephone_number": "406-252-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "MADDOCK",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "406-252-7225",
        "authorized_official_credential": "A.T.,C."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0562094",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.