Organization Active NPI

Hospice Medical Equipment Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Altus, OK
National Provider Identifier
1275571838
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
176637 Issued in OK
Legal business name
HOSPICE MEDICAL EQUIPMENT CENTER, INC.
Doing business as
Family Medical Equipment and Supply
Practice address
100 S Park LN
Suite 1
Altus, OK 73521-5750
Phone
(580) 482-9410
Fax
(580) 482-4648
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Mr. Mark Benedict, CRT
Title
President
Phone
(940) 839-6425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 176637 OK Primary

Addresses

Primary practice location

100 S Park LN
Suite 1
Altus, OK 73521-5750

Mailing address

100 S Park LN
Suite 1
Altus, OK 73521-5750
Phone (580) 482-9410

Other identifiers 1

IdentifierTypeStateIssuer
100808130-AMedicaidOK

Other names 1

  • Family Medical Equipment and Supply Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930075387 OK DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Pedorthic Personnel 9537285119 Practice locations: Altus, OK

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hospice Medical Equipment Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

925 E Broadway St
Altus, OK 73521
Phone (580) 482-9410

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1275571838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S PARK LN",
            "address_2": "SUITE 1",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215750",
            "telephone_number": "580-482-9410",
            "fax_number": "580-482-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PARK LN",
            "address_2": "SUITE 1",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215750",
            "telephone_number": "580-482-9410",
            "fax_number": "580-482-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE MEDICAL EQUIPMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-839-6425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "176637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100808130-A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Equipment and Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.