Outreach Medical Supplies, Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

OUTREACH MEDICAL SUPPLIES, INC

Practice address

515 Airport Rd
Ste 114
Chattanooga, TN 37421-3583

Phone

(423) 553-5595

Fax

(423) 553-5592

NPI assigned

Jun 22, 2005

Last updated

Mar 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emmanuel Ekon Sr.

Title

President

Phone

(423) 553-5595

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1679579924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 AIRPORT RD",
            "address_2": "STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213583",
            "telephone_number": "423-553-5595",
            "fax_number": "423-553-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 AIRPORT RD",
            "address_2": "STE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213583",
            "telephone_number": "423-553-5595",
            "fax_number": "423-553-5592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "EKON",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-553-5595",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "4083579",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454459",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Oxygen Equipment & Supplies (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.