Active NPI
Mayfield Inc.
- Durable Medical Equipment & Medical Supplies
- West Monroe, LA
National Provider Identifier
1245317593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MAYFIELD INC.
- Practice address
- 112 Summer LN
West Monroe, LA 71291-3500 - Phone
- (318) 396-3366
- Fax
- (318) 397-2132
- NPI assigned
- Nov 1, 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
- Christine Mayfield
- Title
- Owner/President
- Phone
- (318) 396-3366
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
112 Summer LN
West Monroe, LA 71291-3500
Mailing address
112 Summer LN
West Monroe, LA 71291-3500
Phone (318) 396-3366
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548561 | Medicaid | LA | |
| 1532622 | Medicaid | LA | |
| 1548553 | Medicaid | LA |
Other names 1
- FASTSERV MEDICAL MONROE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111004000563 | LA | DME Supplier - Medical Supply Company | 0143492793 | Practice locations: West Monroe, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Fastserv Medical | Commodes, Urinals, Bedpans|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Access… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
112 Summer Ln
West Monroe, LA 71291
Phone (318) 396-3366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245317593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 SUMMER LN",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712913500",
"telephone_number": "318-396-3366",
"fax_number": "318-397-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SUMMER LN",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712913500",
"telephone_number": "318-396-3366",
"fax_number": "318-397-2132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYFIELD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MAYFIELD",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "318-396-3366"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548561",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1532622",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548553",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "FASTSERV MEDICAL MONROE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.