Organization Active NPI

Koala Mattress Inc

  • Durable Medical Equipment & Medical Supplies
  • Pensacola, FL
National Provider Identifier
1316188204
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
RS0700981 Issued in FL
Legal business name
KOALA MATTRESS INC
Practice address
3800 W Fairfield Dr
Pensacola, FL 32505-4849
Phone
(850) 453-0000
NPI assigned
Mar 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Mrs. Penny J Lang
Title
President, Ceo
Phone
(850) 453-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X RS0700981 FL Primary

Addresses

Primary practice location

3800 W Fairfield Dr
Pensacola, FL 32505-4849

Mailing address

3800 W Fairfield Dr
Pensacola, FL 32505-4849
Phone (850) 453-0000

National Provider Directory

National Provider Directory

Locations

3800 W Fairfield Dr
Pensacola, FL 32505
Phone (850) 453-0000

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1316188204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W FAIRFIELD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325054849",
            "telephone_number": "850-453-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W FAIRFIELD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325054849",
            "telephone_number": "850-453-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOALA MATTRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "850-453-0000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "RS0700981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.