Island Durable Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ISLAND DURABLE MEDICAL EQUIPMENT, LLC

Practice address

1908 State Hwy 361
Port Aransas, TX 78373-4894

Phone

(361) 749-0908

Fax

(361) 749-1120

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn Richards Carr

Title

Owner

Phone

(361) 749-0908

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1497940035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 STATE HWY 361",
            "city": "PORT ARANSAS",
            "state": "TX",
            "postal_code": "783734894",
            "telephone_number": "361-749-0908",
            "fax_number": "361-749-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 STATE HWY 361",
            "city": "PORT ARANSAS",
            "state": "TX",
            "postal_code": "783734894",
            "telephone_number": "361-749-0908",
            "fax_number": "361-749-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DURABLE MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "RICHARDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-749-0908",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Port Aransas, TX
• Providers in Port Aransas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

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