Organization Active NPI

Sweetwater Medical East Inc

  • Durable Medical Equipment & Medical Supplies
  • Melbourne, FL
National Provider Identifier
1417924341
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SWEETWATER MEDICAL EAST INC
Practice address
809 E Hibiscus Blvd
Melbourne, FL 32901-3219
Phone
(321) 953-2300
Fax
(321) 953-0142
NPI assigned
Feb 28, 2006
Last updated
May 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Cathy Battreall
Title
Senior Vice President
Phone
(305) 852-7375

Specialties & licenses 1

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

Addresses

Primary practice location

809 E Hibiscus Blvd
Melbourne, FL 32901-3219

Mailing address

PO Box 879
Melbourne, FL 32902-0879
Phone (321) 953-2300

Other identifiers 1

IdentifierTypeStateIssuer
031248700MedicaidFL

National Provider Directory

National Provider Directory

Locations

809 E Hibiscus Blvd
Melbourne, FL 32901
Phone (321) 327-4747

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": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1417924341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 879",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329020879",
            "telephone_number": "321-953-2300",
            "fax_number": "321-953-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 E HIBISCUS BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013219",
            "telephone_number": "321-953-2300",
            "fax_number": "321-953-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER MEDICAL EAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "BATTREALL",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "305-852-7375"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031248700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.