Medic House Incorporated

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDIC HOUSE INCORPORATED

Practice address

1101 S Crysler Ave
Independence, MO 64052-4034

Phone

(816) 461-7676

Fax

(816) 461-6105

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Miss Shelly Woodson

Title

Manager

Phone

(816) 461-7676

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1194758516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S CRYSLER AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640524034",
            "telephone_number": "816-461-7676",
            "fax_number": "816-461-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CRYSLER AVE",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640524034",
            "telephone_number": "816-461-7676",
            "fax_number": "816-461-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIC HOUSE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-461-7676",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620280412",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KC PROVIDER NUMBER",
            "identifier": "06695018",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Meade
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• Medevac Medical Response Inc
• Medical Diagnostic Center Associates LP
• Medical Imaging Inc
• Medical West Respiratory Central, LLC
• Melissa Medina
• Medley Sleeps, LLC

• Durable Medical Equipment & Medical Supplies in Independence, MO
• Providers in Independence, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.