Active NPI
Harrison Medical Inc.
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
National Provider Identifier
1245263276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HARRISON MEDICAL INC.
- Practice address
- 721 South Preston St.
Louisville, KY 40203 - Phone
- (502) 589-9325
- Fax
- (502) 585-5202
- NPI assigned
- Jul 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shirley W Harrison
- Title
- Sec-Treas
- Phone
- (502) 589-9325
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
721 South Preston St.
Louisville, KY 40203
Mailing address
721 South Preston St.
Louisville, KY 40203
Phone (502) 589-9325
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000070036 | Other | ANTHEM | |
| 2432836000 | Other | KY | PASSPORT ADVANTAGE |
| 90210568 | Medicaid | KY | |
| 1050370 | Other | KY | PASSPORT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204156800000",
"number": "1245263276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 SOUTH PRESTON ST.",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40203",
"telephone_number": "502-589-9325",
"fax_number": "502-585-5202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 SOUTH PRESTON ST.",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40203",
"telephone_number": "502-589-9325",
"fax_number": "502-585-5202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRISON MEDICAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2008-02-28",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "SEC-TREAS",
"authorized_official_telephone_number": "502-589-9325",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000070036",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2432836000",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90210568",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1050370",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.