Avritt Medical Equipment, Inc.
Organization Active NPI Oxygen Equipment & Supplies (DME) · Clarksdale, MS
NPI 1629009063 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1629009063
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oxygen Equipment & Supplies (DME) 332BX2000X
- License
- 0390111.1 (MS)
- Legal business name
- AVRITT MEDICAL EQUIPMENT, INC.
- Practice address
- 909 Desoto Ave
Clarksdale, MS 38614-6930 - Phone
- (662) 627-7702
- Fax
- (662) 627-7889
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Charles R Avritt
- Title
- President
- Phone
- (662) 843-7007
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 2
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Avritt Medical Equipment |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930072209 | MS | DME Supplier - Medical Supply Company |
1557473824 | Practice locations: Clarksdale, MS |
National Provider Directory
- Tax ID family
- Avritt Medical Equipment Inc
Locations
909 Desoto Ave
Clarksdale, MS 38614
Phone (662) 627-7702
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 0390111.1 | MS | Yes |
Addresses
Primary practice location
909 Desoto Ave
Clarksdale, MS 38614-6930
Mailing address
4020 Highway 8
Cleveland, MS 38732-8551
Phone (662) 843-7007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03970589 | Medicaid | MS |
Other providers in Clarksdale, MS
- Andrea L. Smith MD
- Antici Therapy, LLC
- Anna Brittain Antici
- Austin Poole, DMD, PLLC
- Autospa-Healthy Youth Center
- Ayers Martin Enterprises LLC
- Laura Hawkins Babb
- Lori Ashcraft Bailey
- Malcolm Douglas Bailey
- Rodney William Baine
All providers in Clarksdale, MS · Oxygen Equipment & Supplies (DME) in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.