Wiregrass Medical Holdings LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

WIREGRASS MEDICAL HOLDINGS LLC

Doing business as

Wiregrass HME

Practice address

566 W Carroll St Ste 3
Dothan, AL 36301-4376

Phone

(334) 446-5285

NPI assigned

Sep 2, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan L Eubanks

Title

Partner

Phone

(334) 446-5285

Specialties & licenses 2

Addresses

Other names 1

• Wiregrass HME Doing business as

Locations

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

{
    "created_epoch": "1567382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1255989307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 W CARROLL ST STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014376",
            "telephone_number": "334-446-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 W CARROLL ST STE 3",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363014376",
            "telephone_number": "334-446-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIREGRASS MEDICAL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-02",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "EUBANKS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "334-446-5285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiregrass HME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wiregrass HME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oxygen Equipment & Supplies (DME) in Dothan, AL
• Providers in Dothan, AL by specialty
• Oxygen Equipment & Supplies (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.