Organization Active NPI

Ruonala Durable Medical Equipment Inc.

  • Durable Medical Equipment & Medical Supplies
  • North Myrtle Beach, SC
National Provider Identifier
1225088974
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
26556076 Issued in SC
Legal business name
RUONALA DURABLE MEDICAL EQUIPMENT INC.
Practice address
423 Main St
North Myrtle Beach, SC 29582-3023
Phone
(843) 249-2722
Fax
(843) 249-7522
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Mrs. Valerie Lynn Ruonala
Title
Owner
Phone
(843) 249-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 26556076 SC Primary

Addresses

Primary practice location

423 Main St
North Myrtle Beach, SC 29582-3023

Mailing address

423 Main St
North Myrtle Beach, SC 29582-3023
Phone (843) 249-2722

Other identifiers 2

IdentifierTypeStateIssuer
DE2390MedicaidSC
7704275MedicaidNC

National Provider Directory

National Provider Directory

Locations

423 Main St
North Myrtle Beach, SC 29582
Phone (843) 249-2722

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1225088974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MAIN ST",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823023",
            "telephone_number": "843-249-2722",
            "fax_number": "843-249-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MAIN ST",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823023",
            "telephone_number": "843-249-2722",
            "fax_number": "843-249-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUONALA DURABLE MEDICAL EQUIPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "RUONALA",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-249-2722",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "26556076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2390",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704275",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.