Active NPI
Ricky Lee Coleman
Doing business as Jasper County Medical Supply
- Durable Medical Equipment & Medical Supplies
- Kirbyville, TX
National Provider Identifier
1447522289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- RICKY LEE COLEMAN
- Doing business as
- Jasper County Medical Supply
- Practice address
- 3148 County Road 480
Kirbyville, TX 75956-4328 - Phone
- (409) 622-2635
- NPI assigned
- Feb 8, 2012
- Last updated
- Feb 8, 2012
- 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
- Alesha Gunter
- Title
- Office Manager
- Phone
- (409) 622-2884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
3148 County Road 480
Kirbyville, TX 75956-4328
Mailing address
PO Box 1092
Kirbyville, TX 75956-1092
Phone (409) 622-2635
Other names 1
- Jasper County Medical Supply
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1328659200000",
"number": "1447522289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1092",
"city": "KIRBYVILLE",
"state": "TX",
"postal_code": "759561092",
"telephone_number": "409-622-2635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3148 COUNTY ROAD 480",
"city": "KIRBYVILLE",
"state": "TX",
"postal_code": "759564328",
"telephone_number": "409-622-2635"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICKY LEE COLEMAN",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-08",
"last_updated": "2012-02-08",
"status": "A",
"authorized_official_last_name": "GUNTER",
"authorized_official_first_name": "ALESHA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "409-622-2884"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jasper County Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kirbyville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.