Mash Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MASH INC

Practice address

1505 B South Ferdon Blvd
Crestview, FL 32536

Phone

(850) 682-9777

Fax

(850) 682-2996

NPI assigned

Apr 4, 2006

Last updated

Jul 14, 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. Gregory L Horn

Title

President

Phone

(205) 664-2059

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1386606481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 B SOUTH FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32536",
            "telephone_number": "850-682-9777",
            "fax_number": "850-682-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 B SOUTH FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "32536",
            "telephone_number": "850-682-9777",
            "fax_number": "850-682-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-664-2059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027707000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R3303",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ann Marquardt-Rogers, APRN
• Ashlee Martin
• Gwen Marie Martin, LPTA
• Savannah Loraine Martin
• Laysha Martinez Vega
• Jennifer Leigh Masone
• Maria Masters, INTERPRETER
• Charles Sedillo Mata, CO
• Hannah Matheson, COTA
• Eva Maria I Matute

• Durable Medical Equipment & Medical Supplies in Crestview, FL
• Providers in Crestview, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.