Active NPI
Larco Medical Inc
- Oxygen Equipment & Supplies (DME)
- Cookeville, TN
National Provider Identifier
1346236239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 0000000504
- Legal business name
- LARCO MEDICAL INC
- Practice address
- 405 N Willow Ave
Cookeville, TN 38501-2338 - Phone
- (931) 528-7573
- Fax
- (931) 526-6383
- NPI assigned
- Sep 26, 2005
- 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. James Barry Helm
- Title
- Cfo
- Phone
- (931) 528-7573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0000000504 | TN | Primary |
Addresses
Primary practice location
405 N Willow Ave
Cookeville, TN 38501-2338
Mailing address
405 N Willow Ave
Cookeville, TN 38501-2338
Phone (931) 528-7573
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3548141 | Medicaid | TN | |
| 0045535 | Other | TN | BLUE CROSS BLUE SHIELD |
| 80545 | Other | TN | NORHTWOOD NPN |
| 20204 | Other | TN | ABP ADMINISTRATION |
Other names 1
- LARCO MEDICAL INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930076725 | TN | DME Supplier - Medical Supply Company | 3678691128 | Practice locations: Cookeville, TN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Larco Medical Inc | Nebulizer Drugs|Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Larco Medical Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Cookeville, TN
- NPI 1942652045
Locations
405 N Willow Ave
Cookeville, TN 38501
Phone (931) 528-7573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472688000000",
"number": "1346236239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N WILLOW AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012338",
"telephone_number": "931-528-7573",
"fax_number": "931-526-6383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N WILLOW AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012338",
"telephone_number": "931-528-7573",
"fax_number": "931-526-6383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARCO MEDICAL INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2016-09-01",
"status": "A",
"authorized_official_last_name": "HELM",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "BARRY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "931-528-7573",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TN",
"license": "0000000504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3548141",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0045535",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORHTWOOD NPN",
"identifier": "80545",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABP ADMINISTRATION",
"identifier": "20204",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LARCO MEDICAL INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.