Active NPI
Welbourne Medical Suppky
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
National Provider Identifier
1558587261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- WELBOURNE MEDICAL SUPPKY
- Practice address
- 6000 Garners Ferry Rd
Box
Columbia, SC 29209-1303 - Phone
- (803) 479-7010
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John W Owen Jr.
- Title
- President
- Phone
- (803) 479-7010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
6000 Garners Ferry Rd
Box
Columbia, SC 29209-1303
Mailing address
38 Ironwood Way
Columbia, SC 29209-2736
Phone (803) 479-7010
Other names 1
- The Welbourne Group, LLC
National Provider Directory
National Provider DirectoryLocations
6000 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 479-7010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558587261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 IRONWOOD WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292092736",
"telephone_number": "803-479-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 GARNERS FERRY RD",
"address_2": "BOX",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292091303",
"telephone_number": "803-479-7010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELBOURNE MEDICAL SUPPKY",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OWEN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "803-479-7010",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Welbourne Group, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.