Organization Active NPI

Hi-Tech Medical Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Mobile, AL
National Provider Identifier
1467459800
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2005-006398 Issued in AL
Legal business name
HI-TECH MEDICAL SERVICES, INC
Practice address
One Southern Way
Suite B
Mobile, AL 36619-1210
Phone
(251) 433-9805
Fax
(251) 432-3630
NPI assigned
Jun 30, 2005
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Mr. Matthew J Hall
Title
Cfo
Phone
(251) 433-9801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2005-006398 AL Primary

Addresses

Primary practice location

One Southern Way
Suite B
Mobile, AL 36619-1210

Mailing address

One Southern Way
Suite B
Mobile, AL 36619-1210
Phone (251) 433-9805

Other identifiers 2

IdentifierTypeStateIssuer
009100960MedicaidAL
51057000OtherALBCBS OF AL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930086320 AL DME Supplier - Medical Supply Company 3072631605 Practice locations: Mobile, AL

National Provider Directory

National Provider Directory

Locations

1 Southern Way
Ste B
Mobile, AL 36619
Phone (251) 433-9805

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1467459800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE SOUTHERN WAY",
            "address_2": "SUITE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191210",
            "telephone_number": "251-433-9805",
            "fax_number": "251-432-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE SOUTHERN WAY",
            "address_2": "SUITE B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366191210",
            "telephone_number": "251-433-9805",
            "fax_number": "251-432-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI-TECH MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "251-433-9801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "2005-006398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009100960",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51057000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.