Ckoetter Company, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

CKOETTER COMPANY, LLC

Practice address

1716 E Scott Ave
Wichita Falls, TX 76301-8018

Phone

(940) 322-0900

Fax

(940) 322-0902

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Shaun KoetterNPI 1801321278

Title

Owner

Phone

(940) 322-0900

Specialties & licenses 1

Addresses

Other names 1

• North Texas Mobility Lifts Doing business as

Locations

Practitioners 1

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

• Christopher Koetter

  • Durable Medical Equipment & Medical Supplies
  • Wichita Falls, TX
  • NPI 1801321278
  NPD (past) Authorized official

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1164801577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 564",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763070564",
            "telephone_number": "940-322-0900",
            "fax_number": "940-322-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 E SCOTT AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763018018",
            "telephone_number": "940-322-0900",
            "fax_number": "940-322-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKOETTER COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "KOETTER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-322-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Texas Mobility Lifts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyssonn Spring Christy, LVN
• Etem Tabogho Chu, M.D
• Benjamin Andrew Church
• City of Wichita Falls
• City View Independent School District
• Clark Colville and Kelly Heetland Specialty Partners of Texas PLLC
• Heather Clark, MD
• Melissa Clark, LVN
• Nicole Lee Clark
• Clarke Eyecare Center, LLP

• Customized Equipment (DME) in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.