Organization Active NPI

Herbison Medical Inc.

  • Oxygen Equipment & Supplies (DME)
  • McEwen, TN
National Provider Identifier
1487760088
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
663 Issued in TN
Legal business name
HERBISON MEDICAL INC.
Practice address
124 Main St
MC Ewen, TN 37101-4590
Phone
(931) 582-7711
NPI assigned
Aug 23, 2006
Last updated
Jun 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Mr. George Allen Herbison
Title
President
Phone
(931) 582-7711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 663 TN Primary
Community/Retail Pharmacy 3336C0003X 3815 TN

Addresses

Primary practice location

124 Main St
MC Ewen, TN 37101-4590

Mailing address

PO Box 9
MC Ewen, TN 37101-0009
Phone (931) 582-7711

Other identifiers 1

IdentifierTypeStateIssuer
1452164MedicaidTN

National Provider Directory

National Provider Directory

Locations

124 Main St
Mc Ewen, TN 37101
Phone (931) 228-9040

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1487760088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "MC EWEN",
            "state": "TN",
            "postal_code": "371010009",
            "telephone_number": "931-582-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 MAIN ST",
            "city": "MC EWEN",
            "state": "TN",
            "postal_code": "371014590",
            "telephone_number": "931-582-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBISON MEDICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "HERBISON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-582-7711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TN",
            "license": "663",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "3815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452164",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McEwen, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.

Verify at the official NPI Registry.