Queen City Medical Equipment, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUEEN CITY MEDICAL EQUIPMENT, INC

Practice address

1423 23Rd Ave
Meridian, MS 39301-4024

Phone

(601) 693-6167

Fax

(601) 693-6169

NPI assigned

Apr 2, 2007

Last updated

Jan 8, 2010By 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. William Harold Blythe

Title

President

Phone

(601) 693-6167

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1538280441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1332",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393021332",
            "telephone_number": "601-693-6167",
            "fax_number": "601-693-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014024",
            "telephone_number": "601-693-6167",
            "fax_number": "601-693-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "BLYTHE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-693-6167",
        "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": "08050855",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra H. Pupa, M.D.
• Charles R. Purdy, M.D.
• James John Purdy, MD, FACOG
• Edwin M Purvis, M.D.
• Ronnye Dale Purvis
• Queen City Nursing Center Inc
• Quest Diagnostics Clinical Laboratories Inc
• Brandon Quinn, CRNA
• Cindy Renee' Quinn, FNP-C
• R&R Anesthesia Services PLLC

• Durable Medical Equipment & Medical Supplies in Meridian, MS
• Providers in Meridian, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.