WV Durable Medical Equipment Co, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WV DURABLE MEDICAL EQUIPMENT CO, LLC

Doing business as

MedCare WV

Practice address

34 Oakwood Rd
Fairmont, WV 26554-2465

Phone

(304) 367-1088

Fax

(304) 367-1066

NPI assigned

Aug 13, 2006

Last updated

Mar 28, 2008By 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. James Christopher Pallotta

Title

Member

Phone

(304) 692-9730

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MedCare WV Doing business as

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1497767636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265550469",
            "telephone_number": "304-367-1088",
            "fax_number": "304-367-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 OAKWOOD RD",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542465",
            "telephone_number": "304-367-1088",
            "fax_number": "304-367-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WV DURABLE MEDICAL EQUIPMENT CO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "PALLOTTA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "304-692-9730",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810007649",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedCare WV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Durable Medical Equipment & Medical Supplies in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.