Organization Active NPI

Home Medical Equipment Center

  • Durable Medical Equipment & Medical Supplies
  • Menomonie, WI
National Provider Identifier
1164494639
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HOME MEDICAL EQUIPMENT CENTER
Practice address
820 N Broadway Street
Menomonie, WI 54751-1513
Phone
(715) 235-0900
Fax
(715) 235-2332
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
David Ernest Johnson
Title
Owner
Phone
(715) 235-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

820 N Broadway Street
Menomonie, WI 54751-1513

Mailing address

820 N Broadway Street
Menomonie, WI 54751-1513
Phone (715) 235-0900

Other identifiers 1

IdentifierTypeStateIssuer
41658400MedicaidWI

National Provider Directory

National Provider Directory

Locations

820 Broadway St N
Menomonie, WI 54751
Phone (715) 235-0900

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1164494639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N BROADWAY STREET",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511513",
            "telephone_number": "715-235-0900",
            "fax_number": "715-235-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N BROADWAY STREET",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511513",
            "telephone_number": "715-235-0900",
            "fax_number": "715-235-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL EQUIPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-235-0900"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41658400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.