Organization Active NPI

RTG Medical

  • Nursing Facility/Intermediate Care Facility
  • Demopolis, AL
National Provider Identifier
1609077577
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
749 Issued in AL
Legal business name
RTG MEDICAL
Practice address
400 N Ash Ave
Demopolis, AL 36732-2444
Phone
(205) 391-7382
NPI assigned
May 30, 2007
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Jeff Maxxon
Title
Recruiter
Phone
(402) 970-8001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 749 AL Primary

Addresses

Primary practice location

400 N Ash Ave
Demopolis, AL 36732-2444

Mailing address

400 N Ash Ave
Demopolis, AL 36732-2444
Phone (205) 391-7382

Other identifiers 1

IdentifierTypeStateIssuer
5663186OtherALDRIVERS LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1609077577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N ASH AVE",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367322444",
            "telephone_number": "205-391-7382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ASH AVE",
            "city": "DEMOPOLIS",
            "state": "AL",
            "postal_code": "367322444",
            "telephone_number": "205-391-7382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTG MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "MAXXON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "RECRUITER",
        "authorized_official_telephone_number": "402-970-8001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AL",
            "license": "749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "5663186",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Demopolis, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.