Creekside Medical Equipment & Supplies

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

5326946-1703 Issued in UT

Legal business name

CREEKSIDE MEDICAL EQUIPMENT & SUPPLIES

Practice address

376 Sunland Dr
Suite 9
St George, UT 84790-5612

Phone

(435) 673-5540

Fax

(435) 673-5052

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Sione Robinson

Title

Vice President

Phone

(435) 673-5540

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• All-Med, Home Medical Equipment Doing business as

Locations

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1194978015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 S 500 W",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841231336",
            "telephone_number": "801-263-1400",
            "fax_number": "801-263-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 SUNLAND DR",
            "address_2": "SUITE 9",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905612",
            "telephone_number": "435-673-5540",
            "fax_number": "435-673-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE MEDICAL EQUIPMENT & SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "SIONE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "435-673-5540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "UT",
            "license": "5326946-1703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870431335009",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All-Med, Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in St George, UT
• Oxygen Equipment & Supplies (DME) in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.