Active NPI
Ricky Scott Hudson
Doing business as Horizon Ostomy Supply
- Durable Medical Equipment & Medical Supplies
- Corpus Christi, TX
National Provider Identifier
1689651788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0077002
- Legal business name
- RICKY SCOTT HUDSON
- Doing business as
- Horizon Ostomy Supply
- Practice address
- 4659 Everhart Rd
Suite 214
Corpus Christi, TX 78411-2735 - Phone
- (361) 980-8080
- Fax
- (361) 980-8082
- NPI assigned
- Dec 29, 2005
- 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
- Janet Hudson
- Title
- Manager
- Phone
- (361) 980-8080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0077002 | TX | Primary |
Addresses
Primary practice location
4659 Everhart Rd
Suite 214
Corpus Christi, TX 78411-2735
Mailing address
PO Box 271456
Corpus Christi, TX 78427-1456
Phone (361) 980-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015997202 | Medicaid | TX | |
| 087227702 | Medicaid | TX |
Other names 1
- Horizon Ostomy Supply
National Provider Directory
National Provider DirectoryLocations
4659 Everhart Rd
Ste 214
Corpus Christi, TX 78411
Phone (361) 980-8080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1274313600000",
"number": "1689651788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 271456",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784271456",
"telephone_number": "361-980-8080",
"fax_number": "361-980-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4659 EVERHART RD",
"address_2": "SUITE 214",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784112735",
"telephone_number": "361-980-8080",
"fax_number": "361-980-8082"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICKY SCOTT HUDSON",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-29",
"last_updated": "2010-05-20",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "361-980-8080"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0077002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015997202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "087227702",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Horizon Ostomy Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.