Organization Active NPI

Steuben Health Care Equipment Supply and Service Inc

  • Durable Medical Equipment & Medical Supplies
  • Bath, NY
National Provider Identifier
1447361969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
STEUBEN HEALTH CARE EQUIPMENT SUPPLY AND SERVICE INC
Practice address
7464 RT 54
Bath, NY 14810
Phone
(607) 776-7005
Fax
(607) 776-7006
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Charles Mitchell
Title
Owner
Phone
(607) 776-7005

Specialties & licenses 1

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

Addresses

Primary practice location

7464 RT 54
Bath, NY 14810

Mailing address

7464 RT 54
Bath, NY 14810
Phone (607) 776-7005

Other identifiers 1

IdentifierTypeStateIssuer
00893485MedicaidNY

National Provider Directory

National Provider Directory

Locations

27 Pleasant St
Fairport, NY 14450

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447361969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7464 RT 54",
            "city": "BATH",
            "state": "NY",
            "postal_code": "14810",
            "telephone_number": "607-776-7005",
            "fax_number": "607-776-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7464 RT 54",
            "city": "BATH",
            "state": "NY",
            "postal_code": "14810",
            "telephone_number": "607-776-7005",
            "fax_number": "607-776-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEUBEN HEALTH CARE EQUIPMENT SUPPLY AND SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-776-7005",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "00893485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.