Active NPI
Medex, Inc.
- Oxygen Equipment & Supplies (DME)
- Marion, IN
National Provider Identifier
1356745251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200936600A | Medicaid | IN |
Other names 1
- MARION HOME MEDICAL SUPPLIES
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.
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1780837765
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.