Organization Active NPI

Culpepper Harrell, Inc

  • Oxygen Equipment & Supplies (DME)
  • Palatka, FL
National Provider Identifier
1265482434
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
04643 Issued in FL
Legal business name
CULPEPPER HARRELL, INC
Doing business as
Your Home Medical
Practice address
120 N 9TH St
Palatka, FL 32177-3635
Phone
(386) 325-2096
Fax
(386) 328-0404
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Authorized official

Name
Mr. Warren Fletcher
Title
President
Phone
(386) 698-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 04643 FL Primary

Addresses

Primary practice location

120 N 9TH St
Palatka, FL 32177-3635

Mailing address

120 N 9TH St
Palatka, FL 32177-3635
Phone (386) 325-2096

Other identifiers 2

IdentifierTypeStateIssuer
R9977OtherFLBCBSFL
031636900MedicaidFL

Other names 1

  • Your Home Medical Doing business as

National Provider Directory

National Provider Directory

Locations

120 N 9th St
Palatka, FL 32177
Phone (386) 325-2096

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463011200000",
    "number": "1265482434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 9TH ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773635",
            "telephone_number": "386-325-2096",
            "fax_number": "386-328-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 9TH ST",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773635",
            "telephone_number": "386-325-2096",
            "fax_number": "386-328-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULPEPPER HARRELL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2016-05-12",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "WARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-698-3737",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "04643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "R9977",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031636900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Home Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2016; 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.