Organization Active NPI

Ancillary Management Services, Inc.

Doing business as Choctaw Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Butler, AL
National Provider Identifier
1376860312
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANCILLARY MANAGEMENT SERVICES, INC.
Doing business as
Choctaw Medical Equipment
Practice address
303 S Hamburg Ave
Butler, AL 36904-2515
Phone
(601) 693-2484
NPI assigned
Apr 30, 2010
Last updated
Jul 16, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ANCILLARY MANAGEMENT SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Authorized official

Name
Mr. Paul Goldman
Title
Vice President
Phone
(601) 693-2484

Specialties & licenses 1

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

Addresses

Primary practice location

303 S Hamburg Ave
Butler, AL 36904-2515

Mailing address

1500 Roebuck Dr
Meridian, MS 39301-6628
Phone (601) 693-2484

Other names 1

  • Choctaw Medical Equipment Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110328000394 AL DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 3779601208 Practice locations: Butler, AL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Choctaw Medical Equipment303 S Hamburg Ave, Butler, AL 36904-2515(205) 459-2900 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicl… Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Part of
Ancillary Management SVCS

Locations

303 S Hamburg Ave
Butler, AL 36904
Phone (205) 459-2900

612 E Pushmataha St
Butler, AL 36904

155 Birmingham Rd
Ste 125
Centreville, AL 35042
Phone (205) 926-6855

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594857600000",
    "number": "1376860312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ROEBUCK DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393016628",
            "telephone_number": "601-693-2484",
            "fax_number": "601-485-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S HAMBURG AVE",
            "city": "BUTLER",
            "state": "AL",
            "postal_code": "369042515",
            "telephone_number": "601-693-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCILLARY MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANCILLARY MANAGEMENT SERVICES INC.",
        "enumeration_date": "2010-04-30",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "601-693-2484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Choctaw Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Butler, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.

Verify at the official NPI Registry.