Western Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WESTERN MEDICAL EQUIPMENT, LLC

Doing business as

Western Medical

Practice address

180 N. Center Street #5
Jackson, WY 83001-2586

Phone

(307) 200-6222

Fax

(877) 468-1214

NPI assigned

Feb 3, 2011

Last updated

May 28, 2020By 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. Thomas Worthington Offutt IV, DME CERTIFICATION

Title

President

Phone

(307) 200-6222

Specialties & licenses 1

Addresses

Other names 1

• Western Medical Doing business as

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1437455755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2586",
            "address_2": "180 N CENTER STREET #5",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830012586",
            "telephone_number": "307-690-0756",
            "fax_number": "877-468-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 N. CENTER STREET #5",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830012586",
            "telephone_number": "307-200-6222",
            "fax_number": "877-468-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "OFFUTT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WORTHINGTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-200-6222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DME CERTIFICATION"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Western Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Western Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Jackson, WY
• Providers in Jackson, WY by specialty
• Durable Medical Equipment & Medical Supplies in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.