Port City Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

741 Issued in AL

Legal business name

PORT CITY MEDICAL, LLC

Practice address

6215 Rangeline Rd Ste 110
Theodore, AL 36582-5231

Phone

(251) 443-7667

Fax

(251) 650-4498

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Ahmet Sedat Kacar

Title

President

Phone

(251) 443-7667

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Port City Medical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Port City Medical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
  • NPI 1710399266
  NPD tax ID

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164558755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 RANGELINE RD STE 110",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365825231",
            "telephone_number": "251-443-7667",
            "fax_number": "251-650-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6215 RANGELINE RD STE 110",
            "city": "THEODORE",
            "state": "AL",
            "postal_code": "365825231",
            "telephone_number": "251-443-7667",
            "fax_number": "251-650-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CITY MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KACAR",
        "authorized_official_first_name": "AHMET",
        "authorized_official_middle_name": "SEDAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-443-7667"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HME SERVICES PROVIDER",
            "identifier": "PERMIT  #741",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Beginnings Womens Substance Abuse Treatment, Inc.
• Shelby St John Norton, PT
• Nursetel
• One on One Senior Care LLC
• Angelette Summers Paul
• Providence Hospital
• PT Solutions Management, LLC
• Pulmonostics Inc.
• Lewis Etheredge Redditt II, PHARMACIST
• Restore Therapy Services, LTD

• All providers in Theodore, AL
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.