Mathews Rental Inc

Key facts

NPI

1609953744

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

License

0035618 (TX)

Legal business name

MATHEWS RENTAL INC

Practice address

112 W Columbia Street
San Augustine, TX 75972-0207

Phone

(936) 275-3485

Fax

(936) 275-5424

NPI assigned

Nov 1, 2006

Organization subpart

No

Authorized official

Name

Mrs. Sharon S Mathews

Title

Sec/Trea

Phone

(936) 275-3485

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

Other names

• MATHEWS MEDICAL EQUIPMENT & SUPPLIES Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2012.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1609953744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W COLUMBIA STREET",
            "address_2": "P O BOX 207",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759720207",
            "telephone_number": "936-275-3485",
            "fax_number": "936-275-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W COLUMBIA STREET",
            "city": "SAN AUGUSTINE",
            "state": "TX",
            "postal_code": "759720207",
            "telephone_number": "936-275-3485",
            "fax_number": "936-275-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHEWS RENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SEC/TREA",
        "authorized_official_telephone_number": "936-275-3485",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0035618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107070-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156382-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MATHEWS MEDICAL EQUIPMENT & SUPPLIES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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All providers in San Augustine, TX · Durable Medical Equipment & Medical Supplies in Texas