Organization Active NPI

Reliant Medical Products

  • Durable Medical Equipment & Medical Supplies
  • West Columbia, SC
National Provider Identifier
1447208301
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Sep 1, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DE1969MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930032402 SC DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 3779795299 Practice locations: West Columbia, SC

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Reliant Medical Products Inc125 Wade St, West Columbia, SC 29169-4635(803) 794-4460 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 assignmentParticipating since Jan 31, 2002

National Provider Directory

National Provider Directory
Tax ID family
Reliant Medical Products2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.