Active NPI
Matrix Medical Equipment & Supplies Inc
- Durable Medical Equipment & Medical Supplies
- Weirton, WV
National Provider Identifier
1629009329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 001
- Legal business name
- MATRIX MEDICAL EQUIPMENT & SUPPLIES INC
- Practice address
- 1621 Pennsylvania Avenue
Weirton, WV 26062 - Phone
- (304) 797-9640
- Fax
- (304) 797-9647
- NPI assigned
- Jul 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rose Anne Oabonna
- Title
- Owner
- Phone
- (304) 797-9640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 001 | WV | Primary |
Addresses
Primary practice location
1621 Pennsylvania Avenue
Weirton, WV 26062
Mailing address
1621 Pennsylvania Avenue
Weirton, WV 26062
Phone (304) 797-9640
National Provider Directory
National Provider DirectoryLocations
1621 Pennsylvania Ave
Weirton, WV 26062
Phone (304) 797-9640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1629009329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 PENNSYLVANIA AVENUE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "26062",
"telephone_number": "304-797-9640",
"fax_number": "304-797-9647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 PENNSYLVANIA AVENUE",
"city": "WEIRTON",
"state": "WV",
"postal_code": "26062",
"telephone_number": "304-797-9640",
"fax_number": "304-797-9647"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATRIX MEDICAL EQUIPMENT & SUPPLIES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-05",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "OABONNA",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-797-9640",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "WV",
"license": "001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.