Express Healthcare Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EXPRESS HEALTHCARE INC

Practice address

365A Commercial Park Dr
Fairhope, AL 36532-1912

Phone

(251) 990-9119

Fax

(251) 990-3599

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kendall W Miller

Title

President

Phone

(251) 990-9119

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1225009665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1982",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365331982",
            "telephone_number": "251-990-9119",
            "fax_number": "251-990-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365A COMMERCIAL PARK DR",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321912",
            "telephone_number": "251-990-9119",
            "fax_number": "251-990-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-990-9119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-06384",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009987600",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Etheredge, M.S., BCBA
• Aniekeme Saturday Etuk, MD
• David J. Eurgil II, CRNA
• Leslie Logan Evans, MD
• Everette Counseling, LLC
• Cori Faircloth
• Fairhope Bay Dental LLC
• Fairhope Children'S Dentistry
• Fairhope Cosmetic and Family Dentistry, PC
• Fairhope Cosmetic Dentistry and Fresh Beath Center

• All providers in Fairhope, 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 Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.