Active NPI
Shama Pulmonary Rehab. Center Inc.
- Oxygen Equipment & Supplies (DME)
- Oak Grove, LA
National Provider Identifier
1275770620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- LT3348
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.