Organization Active NPI

Medical Equipment Center LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Southaven, MS
National Provider Identifier
1649379462
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
MEDICAL EQUIPMENT CENTER LLC
Practice address
970 Swinnea RDG
Suite 1
Southaven, MS 38671-6037
Phone
(662) 536-1663
Fax
(662) 536-1677
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Ramona Matthews
Title
Ceo
Phone
(662) 536-1663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

970 Swinnea RDG
Suite 1
Southaven, MS 38671-6037

Mailing address

970 Swinnea RDG
Suite 1
Southaven, MS 38671-6037
Phone (662) 536-1663

Other identifiers 1

IdentifierTypeStateIssuer
00034561MedicaidMS

National Provider Directory

National Provider Directory

Locations

970 Swinnea Rdg
Ste 1
Southaven, MS 38671
Phone (662) 470-5433

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1649379462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SWINNEA RDG",
            "address_2": "SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716037",
            "telephone_number": "662-536-1663",
            "fax_number": "662-536-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 SWINNEA RDG",
            "address_2": "SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716037",
            "telephone_number": "662-536-1663",
            "fax_number": "662-536-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EQUIPMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-536-1663"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00034561",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.

Verify at the official NPI Registry.