Active NPI
Reliant Medical Products
- Durable Medical Equipment & Medical Supplies
- West Columbia, SC
National Provider Identifier
1447208301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RELIANT MEDICAL PRODUCTS
- Practice address
- 125 Wade St
Suite B
West Columbia, SC 29169-4635 - Phone
- (803) 794-4460
- Fax
- (803) 794-4669
- NPI assigned
- May 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Roy Lewis McDonald
- Title
- Owner
- Phone
- (803) 794-4460
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
Addresses
Primary practice location
125 Wade St
Suite B
West Columbia, SC 29169-4635
Mailing address
125 Wade St
Suite B
West Columbia, SC 29169-4635
Phone (803) 794-4460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1969 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930032402 | SC | DME Supplier - Medical Supply Company | 3779795299 | Practice locations: West Columbia, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Reliant Medical Products Inc | Commodes, Urinals, Bedpans|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (S… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Reliant Medical Products
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Oxygen Equipment & Supplies (DME)
- West Columbia, SC
- NPI 1083696991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251763200000",
"number": "1447208301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WADE ST",
"address_2": "SUITE B",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694635",
"telephone_number": "803-794-4460",
"fax_number": "803-794-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WADE ST",
"address_2": "SUITE B",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291694635",
"telephone_number": "803-794-4460",
"fax_number": "803-794-4669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANT MEDICAL PRODUCTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2009-09-01",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "LEWIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-794-4460",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DE1969",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.