Organization Active NPI

Mark Twain Oxygen & Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Hannibal, MO
National Provider Identifier
1578608584
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
LC0541704 Issued in MO
Legal business name
MARK TWAIN OXYGEN & MEDICAL EQUIPMENT LLC
Practice address
6464 Interstate CT
Hannibal, MO 63401-6759
Phone
(573) 221-2402
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Robert Paul Bemis
Title
Owner
Phone
(573) 221-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X LC0541704 MO Primary

Addresses

Primary practice location

6464 Interstate CT
Hannibal, MO 63401-6759

Mailing address

6464 Interstate CT
Hannibal, MO 63401-6759
Phone (573) 221-2402

Other identifiers 2

IdentifierTypeStateIssuer
613566OtherMOHEALTHLINK
182410OtherMOBLUE CROSS BLUE SHIELD MO

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Hannibal Medical Supplies LLC6464 Interstate CT, Hannibal, MO 63401-6759(573) 231-0556 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/M… Does not accept assignmentParticipating since Jan 2, 2009

National Provider Directory

National Provider Directory

Locations

6464 Interstate Ct
Hannibal, MO 63401
Phone (573) 221-2402

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1578608584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 INTERSTATE CT",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016759",
            "telephone_number": "573-221-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 INTERSTATE CT",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016759",
            "telephone_number": "573-221-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK TWAIN OXYGEN & MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BEMIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-221-2402",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "LC0541704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "613566",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MO",
            "identifier": "182410",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.