Salem Mobility and Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SALEM MOBILITY AND MEDICAL SUPPLY INC

Practice address

2565A Old Glory Rd
Clemmons, NC 27012-9276

Phone

(336) 766-4480

Fax

(336) 766-4498

NPI assigned

Oct 1, 2009

Last updated

Jan 19, 2011By 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

Ronnie L Townsend Jr.

Title

President

Phone

(336) 978-2770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1548594948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270120449",
            "telephone_number": "336-766-4480",
            "fax_number": "336-766-4498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565A OLD GLORY RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129276",
            "telephone_number": "336-766-4480",
            "fax_number": "336-766-4498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM MOBILITY AND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-978-2770",
        "authorized_official_name_suffix": "Jr."
    },
    "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": "7705192",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose 4RM the Concrete LLC
• Stephen Rowe, LCSWA
• RSS/Clemmons Operations, LLC (Mallard Ridge Assisted Living)
• Ellena Vanessa Rubinstein, LCMHC
• William Ruiz
• Salt Beach LLC
• Shalisa Salters
• Issis Nallely Sanchez-Casiano, RBT
• Kathy Sanger, OT
• Emily Raye Sapp, MA,LPA, HSP-PA, BCBA

• Durable Medical Equipment & Medical Supplies in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; 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.