Millport Holdings DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MILLPORT HOLDINGS DME LLC

Practice address

13530 Hwy 96
Millport, AL 35576

Phone

(205) 662-3862

NPI assigned

Nov 21, 2014

Last updated

Jul 23, 2015By 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

Mr. Robert E Swanson Jr.

Title

Owner

Phone

(205) 662-3862

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1457758351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "address_2": "13530 HWY 96",
            "city": "MILLPORT",
            "state": "AL",
            "postal_code": "35576",
            "telephone_number": "205-662-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 HWY 96",
            "city": "MILLPORT",
            "state": "AL",
            "postal_code": "35576",
            "telephone_number": "205-662-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLPORT HOLDINGS DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-662-3862",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHELD",
            "identifier": "168697625",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dalton Pollard, DC
• Robert Enoch Swanson, CRNP
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• Durable Medical Equipment & Medical Supplies in Millport, AL
• Providers in Millport, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.