Fourco, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOURCO, INC.

Practice address

848 Marguerite St
Morgan City, LA 70380-1837

Phone

(985) 384-0689

Fax

(985) 384-2689

NPI assigned

Mar 26, 2008

Organization subpart

Yes

Parent organization

FOURCO, INCAs reported in NPPES

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

Authorized official

Name

Gladys M Fournet, PT. ADV.

Title

President

Phone

(337) 828-0989

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PROFESSIONAL HOME MEDICAL Doing business as

Part of

Fournets Pharmacy

Locations

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1679745012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 HOSPITAL AVE",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705383723",
            "telephone_number": "337-828-0989",
            "fax_number": "337-828-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 MARGUERITE ST",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801837",
            "telephone_number": "985-384-0689",
            "fax_number": "985-384-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURCO, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOURCO, INC",
        "enumeration_date": "2008-03-26",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "FOURNET",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-828-0989",
        "authorized_official_credential": "PT. ADV."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1216364",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROFESSIONAL HOME MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.