Active NPI
Crown Medical Company
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
National Provider Identifier
1265571616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0034595
- Legal business name
- CROWN MEDICAL COMPANY
- Practice address
- 517 82ND St
Lubbock, TX 79404-6337 - Phone
- (806) 780-2642
- Fax
- (806) 780-5055
- NPI assigned
- Feb 5, 2007
- Last updated
- Mar 28, 2008
- 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
- Mr. Bobby Royce Logan, RRT NPS RPSGT
- Title
- Manager
- Phone
- (806) 780-2642
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0034595 | TX | Primary |
Addresses
Primary practice location
517 82ND St
Lubbock, TX 79404-6337
Mailing address
PO Box 3987
Lubbock, TX 79452-3987
Phone (806) 780-2642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 515187 | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
517 82nd St
Lubbock, TX 79404
Phone (806) 745-2551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1265571616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3987",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794523987",
"telephone_number": "806-780-2642",
"fax_number": "806-780-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 82ND ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794046337",
"telephone_number": "806-780-2642",
"fax_number": "806-780-5055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROWN MEDICAL COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "BOBBY",
"authorized_official_middle_name": "ROYCE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "806-780-2642",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RRT NPS RPSGT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0034595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "515187",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.