Team Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TEAM MEDICAL SUPPLY, LLC

Practice address

210 N State Line Ave Ste 201
Texarkana, AR 71854-5917

Phone

(866) 854-8326

Fax

(866) 815-8326

NPI assigned

Aug 13, 2015

Last updated

Aug 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jamie Cooper

Title

President

Phone

(866) 854-8326

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1316313307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N STATE LINE AVE STE 201",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545917",
            "telephone_number": "866-854-8326",
            "fax_number": "866-815-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N STATE LINE AVE STE 201",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545917",
            "telephone_number": "866-854-8326",
            "fax_number": "866-815-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-854-8326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160815716",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Taylor, MHPP
• Briana Elayne Taylor, LPC
• Bridget M Taylor
• Linda Taylor
• Tba Texarkana LLC (Vista Health Texarkana Rspmi)
• Team Medical Supply, LLC
• Jennifer Terry
• Texarkana Ar Opco LLC (The Springs of Texarkana)
• Texarkana Arkansas School District
• Texarkana Arkansas School District

• Durable Medical Equipment & Medical Supplies in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Durable Medical Equipment & Medical Supplies in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.