NPIMap

Organization Active NPI

Med-Tek Systems

  • Oxygen Equipment & Supplies (DME)
  • Collierville, TN
National Provider Identifier
1245209451
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0000000494 Issued in TN
Legal business name
MED-TEK SYSTEMS
Practice address
432 Highway 72
Suite 3B
Collierville, TN 38017-2808
Phone
(901) 861-4525
Fax
(901) 861-3193
NPI assigned
Mar 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Danny H. Deloach
Title
Owner
Phone
(901) 861-4525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 0000000494 TN Primary

Addresses

Primary practice location

432 Highway 72
Suite 3B
Collierville, TN 38017-2808

Mailing address

PO Box 1001
Collierville, TN 38027-1001
Phone (901) 861-4525

Other identifiers 4

IdentifierTypeStateIssuer
00440010MedicaidMS
3562516MedicaidTN
002008218OtherTNBLUECROSS/BLUESHIELD
122481716MedicaidAR

National Provider Directory

National Provider Directory

Member of 1

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

Locations

432 W US Highway 72
Ste 3B
Collierville, TN 38017
Phone (901) 861-4525

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1245209451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1001",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380271001",
            "telephone_number": "901-861-4525",
            "fax_number": "901-861-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 HIGHWAY 72",
            "address_2": "SUITE 3B",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172808",
            "telephone_number": "901-861-4525",
            "fax_number": "901-861-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-TEK SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "DELOACH",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-861-4525"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "0000000494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440010",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3562516",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "002008218",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122481716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.