Active NPI
Hospice Medical Equipment Center, Inc.
- Durable Medical Equipment & Medical Supplies
- Altus, OK
National Provider Identifier
1275571838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 176637
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100808130-A | Medicaid | OK |
Other names 1
- Family Medical Equipment and Supply
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930075387 | OK | DME Supplier - Medical Supply Company | 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).
-
- Durable Medical Equipment & Medical Supplies
- Vernon, TX
- NPI 1710928114
9537285119
National Provider Directory
National Provider Directory- Tax ID family
- Hospice Medical Equipment Center Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Vernon, TX
- NPI 1710928114
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.