NPIMap

Organization Active NPI

Medical Center, Inc.

Doing business as Regional Boutique

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
National Provider Identifier
1225202807
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL CENTER, INC.
Doing business as
Regional Boutique
Practice address
1831 5TH Ave
Suite 200
Columbus, GA 31904-8915
Phone
(706) 320-8766
Fax
(706) 320-8786
NPI assigned
Apr 15, 2008
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Libby Renfroe
Title
Credentialing Coordinator
Phone
(706) 660-6410

Specialties & licenses 1

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

Addresses

Primary practice location

1831 5TH Ave
Suite 200
Columbus, GA 31904-8915

Mailing address

PO Box 1038
Columbus, GA 31902-1038
Phone (706) 660-6410

Other names 1

  • Regional Boutique Doing business as

National Provider Directory

National Provider Directory
Part of
Alabama Regional Fam Me

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1225202807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319021038",
            "telephone_number": "706-660-6410",
            "fax_number": "706-660-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 5TH AVE",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048915",
            "telephone_number": "706-320-8766",
            "fax_number": "706-320-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBUS REGIONAL HEALTHCARE SYSTEM, INC.",
        "enumeration_date": "2008-04-15",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "RENFROE",
        "authorized_official_first_name": "LIBBY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "706-660-6410"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regional Boutique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.