Resource Medical Group of Charleston, LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

RESOURCE MEDICAL GROUP OF CHARLESTON, LLC

Practice address

4931 Rivers Ave Ste 102
North Charleston, SC 29406-6310

Phone

(437) 677-3344

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Greg Crawford

Title

Authorized Official

Phone

(859) 441-8876

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Resource Medical Group of Charleston, LLC

  • Oxygen Equipment & Supplies (DME)
  • Myrtle Beach, SC
  • NPI 1023331808

  7315140621

  Same PAC ID
• Resource Medical Group of Charleston, LLC

  • Oxygen Equipment & Supplies (DME)
  • Beaufort, SC
  • NPI 1285937078

  7315140621

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Resource Medical Group of Charleston LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Resource Medical Group of Charleston, LLC

  • Oxygen Equipment & Supplies (DME)
  • Myrtle Beach, SC
  • NPI 1023331808
  NPD tax ID
• Resource Medical Group of Charleston, LLC

  • Oxygen Equipment & Supplies (DME)
  • Beaufort, SC
  • NPI 1285937078
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Resource Medical Group, LLC

  • Oxygen Equipment & Supplies (DME)
  • Duncan, SC
  • NPI 1275531659

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1497708945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 ASHLEY PHOSPHATE RD",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294188547",
            "telephone_number": "864-616-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 RIVERS AVE STE 102",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294066310",
            "telephone_number": "437-677-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOURCE MEDICAL GROUP OF CHARLESTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "859-441-8876"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2798",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in North Charleston, SC
• Providers in North Charleston, SC by specialty
• Oxygen Equipment & Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.