Organization Active NPI

MTG Financial Services and Assoc.

  • Durable Medical Equipment & Medical Supplies
  • Collierville, TN
National Provider Identifier
1497939482
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MTG FINANCIAL SERVICES AND ASSOC.
Practice address
432 Highway 72 Ste 1
Collierville, TN 38017-2808
Phone
(901) 854-7133
Fax
(901) 854-7134
NPI assigned
Dec 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Kimberle Golden
Title
Coo
Phone
(901) 854-7133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X TN Primary

Addresses

Primary practice location

432 Highway 72 Ste 1
Collierville, TN 38017-2808

Mailing address

432 Highway 72 Ste 1
Collierville, TN 38017-2808

Other identifiers 2

IdentifierTypeStateIssuer
1455036MedicaidTN
04090625MedicaidMS

Other names 1

  • Golden Medical Supplies Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden Medical Supplies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1497939482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 HIGHWAY 72 STE 1",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 HIGHWAY 72 STE 1",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172808",
            "telephone_number": "901-854-7133",
            "fax_number": "901-854-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTG FINANCIAL SERVICES AND ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "KIMBERLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "901-854-7133"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455036",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04090625",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.