Organization Active NPI

Jean Koehn

  • Durable Medical Equipment & Medical Supplies
  • Myrtle Beach, SC
National Provider Identifier
1629522321
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JEAN KOEHN
Doing business as
AllCare Therapy Services
Practice address
519 Broadway St
Myrtle Beach, SC 29577-3970
Phone
(919) 235-2949
Fax
(888) 803-0047
NPI assigned
Aug 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Jean Koehn, CRT
Title
Ceo
Phone
(919) 235-2949

Specialties & licenses 1

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

Addresses

Primary practice location

519 Broadway St
Myrtle Beach, SC 29577-3970

Mailing address

519 Broadway St
Myrtle Beach, SC 29577-3970

Other names 1

  • AllCare Therapy Services Doing business as

National Provider Directory

National Provider Directory

Locations

519 Broadway St
Myrtle Beach, SC 29577
Phone (919) 235-2949

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1629522321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BROADWAY ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773970",
            "fax_number": "888-803-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 BROADWAY ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773970",
            "telephone_number": "919-235-2949",
            "fax_number": "888-803-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN KOEHN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "KOEHN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-235-2949",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AllCare Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.