Mountain Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOUNTAIN MEDICAL SUPPLY LLC

Practice address

35344 Highway 41 Ste D
Coarsegold, CA 93614-8301

Phone

(559) 307-5831

NPI assigned

Jun 5, 2019

Last updated

Jun 5, 2019By 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

Jose O Romo

Title

Owner

Phone

(559) 307-5468

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennilyn Q Lapham, P.T.

  • Physical Therapist
  • Madera, CA
  • NPI 1124143995
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1447818240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42545 RANGER CIRCLE WAY",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936149636",
            "telephone_number": "559-307-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35344 HIGHWAY 41 STE D",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936148301",
            "telephone_number": "559-307-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-307-5468"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Miller
• Rachel Kate Miller, CHW
• Jennifer Suzanne Mitchell, LMFT
• Destany Star Morgan-Dugas
• Jennifer Morgan, L.M., C.P.M
• Mountain Medical Transport L L C
• Penelope Pennington, PPS
• Amber Purvis
• Stacie Suzanne Roeder
• San Joaquin Drug Incorporated (Yosemite Drug)

• Durable Medical Equipment & Medical Supplies in Coarsegold, CA
• Providers in Coarsegold, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.