Four Seasons Medical Supply, Inc

Primary specialty

Nursing Facility Supplies (DME)Taxonomy code 332BN1400X

License

06015325 Issued in AL

Legal business name

FOUR SEASONS MEDICAL SUPPLY, INC

Practice address

4201 Bessemer Super Hwy
Bessemer, AL 35020-2412

Phone

(205) 428-0147

Fax

(205) 425-7231

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Jeanne Taylor

Title

Biller

Phone

(205) 428-0147

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257811200000",
    "number": "1407967938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 BESSEMER SUPER HWY",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350202412",
            "telephone_number": "205-428-0147",
            "fax_number": "205-425-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 BESSEMER SUPER HWY",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350202412",
            "telephone_number": "205-428-0147",
            "fax_number": "205-425-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASONS MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-11-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "205-428-0147"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "AL",
            "license": "06015325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933183",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility Supplies (DME) in Bessemer, AL
• Providers in Bessemer, AL by specialty
• Nursing Facility Supplies (DME) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; 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.