Organization Active NPI

Seymour Medical Supply, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Seymour, TX
National Provider Identifier
1629218318
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0068341 Issued in TX
Legal business name
SEYMOUR MEDICAL SUPPLY, INC.
Practice address
120 W McLain St
Seymour, TX 76380-2537
Phone
(940) 889-6060
Fax
(940) 889-6050
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Mrs. Denise Allen
Title
Manager
Phone
(940) 889-6060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0068341 TX Primary

Addresses

Primary practice location

120 W McLain St
Seymour, TX 76380-2537

Mailing address

120 W McLain St
Seymour, TX 76380-2537
Phone (940) 889-6060

Other identifiers 2

IdentifierTypeStateIssuer
158522601MedicaidTX
158522602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930067259 TX DME Supplier - Medical Supply CompanyDME Supplier - Oxygen & Equipment 3678771912 Practice locations: Seymour, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Seymour Medical Supply Inc120 W McLain St, Seymour, TX 76380-2553(940) 889-6060 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wh… Does not accept assignmentParticipating since Apr 6, 2009

National Provider Directory

National Provider Directory

Locations

120 W McLain St
Seymour, TX 76380
Phone (940) 888-5586

110 W Reiman St
Seymour, TX 76380
Phone (940) 889-6060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1629218318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MCLAIN ST",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802537",
            "telephone_number": "940-889-6060",
            "fax_number": "940-889-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W MCLAIN ST",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802537",
            "telephone_number": "940-889-6060",
            "fax_number": "940-889-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "940-889-6060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0068341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158522601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158522602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.