Wall Home Medical Equipment, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

021168816 Issued in SC

Legal business name

WALL HOME MEDICAL EQUIPMENT, INC

Practice address

221 Rodgers Ave
Lake City, SC 29560-2151

Phone

(843) 374-2299

Fax

(843) 374-2932

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara M Wall, RRPT

Title

Owner

Phone

(843) 374-2299

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1659577104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 RODGERS AVE",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602151",
            "telephone_number": "843-374-2299",
            "fax_number": "843-374-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 RODGERS AVE",
            "city": "LAKE CITY",
            "state": "SC",
            "postal_code": "295602151",
            "telephone_number": "843-374-2299",
            "fax_number": "843-374-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALL HOME MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-374-2299",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RRPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "021168816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20039999",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lake City, SC
• Providers in Lake City, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.