NPIMap

Organization Active NPI

Kerry's Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Bullhead City, AZ
National Provider Identifier
1598815193
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KERRY'S MEDICAL INC
Practice address
2840 Highway 95
Bullhead City, AZ 86442-7792
Phone
(928) 758-9844
Fax
(928) 758-9957
NPI assigned
Jan 12, 2007
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Mr. Timothy Lane Milberger
Title
Vice President
Phone
(916) 374-0400

Specialties & licenses 1

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

Addresses

Primary practice location

2840 Highway 95
Bullhead City, AZ 86442-7792

Mailing address

2204 W Capitol Ave
W Sacramento, CA 95691-2425
Phone (916) 374-0400

National Provider Directory

National Provider Directory
Tax ID family
Kerry's Medical Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2840 Highway 95
Bullhead City, AZ 86442
Phone (928) 758-1450

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1598815193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 W CAPITOL AVE",
            "city": "W SACRAMENTO",
            "state": "CA",
            "postal_code": "956912425",
            "telephone_number": "916-374-0400",
            "fax_number": "916-374-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 HIGHWAY 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427792",
            "telephone_number": "928-758-9844",
            "fax_number": "928-758-9957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERRY'S MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MILBERGER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "916-374-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.