Organization Active NPI

Heartland Medical and Home Health Equipment,Inc.

  • Durable Medical Equipment & Medical Supplies
  • Elk City, OK
National Provider Identifier
1629065560
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HEARTLAND MEDICAL AND HOME HEALTH EQUIPMENT,INC.
Practice address
100 Access Rd
Elk City, OK 73644-2929
Phone
(580) 243-5551
Fax
(580) 243-5552
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Mrs. Stefanie Edney
Title
Owner
Phone
(580) 243-5551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X

Addresses

Primary practice location

100 Access Rd
Elk City, OK 73644-2929

Mailing address

PO Box 445
Elk City, OK 73648-0445
Phone (580) 243-5551

Other identifiers 3

IdentifierTypeStateIssuer
100811760BMedicaidOK
100811760AMedicaidOK
100634310AMedicaidOK

National Provider Directory

National Provider Directory

Locations

100 Access Rd
Elk City, OK 73644
Phone (580) 225-2488

121 N Main St
Elk City, OK 73644
Phone (580) 243-5551

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1629065560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 445",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480445",
            "telephone_number": "580-243-5551",
            "fax_number": "580-243-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ACCESS RD",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442929",
            "telephone_number": "580-243-5551",
            "fax_number": "580-243-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MEDICAL AND HOME HEALTH EQUIPMENT,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "EDNEY",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-243-5551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100811760B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100811760A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100634310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.