Active NPI
Jean Koehn
- Durable Medical Equipment & Medical Supplies
- Myrtle Beach, SC
National Provider Identifier
1629522321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.