Organization Active NPI

Medex, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Marion, IN
National Provider Identifier
1356745251
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
MEDEX, INC.
Doing business as
MARION HOME MEDICAL SUPPLIES
Practice address
1307 W Johnson St
Marion, IN 46952-2549
Phone
(765) 252-0710
Fax
(765) 252-0712
NPI assigned
Oct 21, 2014
Organization subpart
Yes
Parent organization
MEDEX, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Ashleigh N Lazarus
Title
Chief Executive Compliance Officer
Phone
(765) 252-0710

Specialties & licenses 1

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

Addresses

Primary practice location

1307 W Johnson St
Marion, IN 46952-2549

Mailing address

1307 W Johnson St
Marion, IN 46952-2549
Phone (765) 252-0710

Other identifiers 1

IdentifierTypeStateIssuer
200936600AMedicaidIN

Other names 1

  • MARION HOME MEDICAL SUPPLIES Doing business as

National Provider Directory

National Provider Directory
Part of
Medex Inc

Locations

5644 S Meridian St
Ste B
Indianapolis, IN 46217
Phone (317) 786-5841

5640 S Meridian St
Ste B1
Indianapolis, IN 46217
Phone (317) 786-5841

1307 W Johnson St
Marion, IN 46952
Phone (765) 252-0710

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1356745251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 W JOHNSON ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522549",
            "telephone_number": "765-252-0710",
            "fax_number": "765-252-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 W JOHNSON ST",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522549",
            "telephone_number": "765-252-0710",
            "fax_number": "765-252-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDEX, INC.",
        "enumeration_date": "2014-10-21",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "ASHLEIGH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "765-252-0710"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200936600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARION HOME MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARION HOME MEDICAL SUPPLIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.