Organization Active NPI

Crown Medical Company

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
National Provider Identifier
1265571616
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0034595 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
515187OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.