NPIMap

Organization Active NPI

Horns Medical Supply Inc

  • Oxygen Equipment & Supplies (DME)
  • Athens, TX
National Provider Identifier
1396760401
Registry record updated Feb 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
0056656 Issued in TX
Legal business name
HORNS MEDICAL SUPPLY INC
Practice address
1901 S Palestine St
Athens, TX 75751-5701
Phone
(903) 675-9360
Fax
(903) 675-1570
NPI assigned
Jul 12, 2006
Last updated
Feb 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2013

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

Authorized official

Name
Mr. Jerry Wayne HornNPI 1013485895
Title
Vice President
Phone
(903) 675-9360

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 2844334 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 0040665 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 0056656 TX Primary

Addresses

Primary practice location

1901 S Palestine St
Athens, TX 75751-5701

Mailing address

1901 S Palestine St
Athens, TX 75751-5701
Phone (903) 675-9360

Other identifiers 4

IdentifierTypeStateIssuer
016823901MedicaidTX
530830OtherTXBCBS NUMBER
010918301MedicaidTX
010918303MedicaidTX

National Provider Directory

National Provider Directory

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1396760401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757515701",
            "telephone_number": "903-675-9360",
            "fax_number": "903-675-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S PALESTINE ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757515701",
            "telephone_number": "903-675-9360",
            "fax_number": "903-675-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORNS MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "903-675-9360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "2844334",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0040665",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0056656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016823901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "530830",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010918301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010918303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.