Organization Active NPI

Shama Pulmonary Rehab. Center Inc.

  • Oxygen Equipment & Supplies (DME)
  • Oak Grove, LA
National Provider Identifier
1275770620
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
LT3348 Issued in LA
Legal business name
SHAMA PULMONARY REHAB. CENTER INC.
Doing business as
Shama Respiratory Serv's & HME
Practice address
212 E Jefferson St
Oak Grove, LA 71263-2535
Phone
(318) 428-8233
Fax
(318) 428-3424
NPI assigned
Jan 7, 2009
Organization subpart
Yes
Parent organization
SHAMA PULMONARY REHAB. CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Mrs. Teresa C Fourroux
Title
President
Phone
(870) 224-0380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X LT3348 LA Primary

Addresses

Primary practice location

212 E Jefferson St
Oak Grove, LA 71263-2535

Mailing address

102 N Hyatt St
Monticello, AR 71655-4022
Phone (870) 224-0380

Other names 1

  • Shama Respiratory Serv's & HME Doing business as

National Provider Directory

National Provider Directory
Part of
Shama Pulmonary Rehab Center Inc

Locations

102 N Hyatt St
Monticello, AR 71655

212 E Jefferson St
Oak Grove, LA 71263
Phone (318) 428-2310

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1275770620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 N HYATT ST",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554022",
            "telephone_number": "870-224-0380",
            "fax_number": "870-224-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E JEFFERSON ST",
            "city": "OAK GROVE",
            "state": "LA",
            "postal_code": "712632535",
            "telephone_number": "318-428-8233",
            "fax_number": "318-428-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAMA PULMONARY REHAB. CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAMA PULMONARY REHAB. CENTER, INC.",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "FOURROUX",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-224-0380",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "LT3348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shama Respiratory Serv's & HME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Grove, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.