Medrental Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

403 Issued in AL

Legal business name

MEDRENTAL INC

Practice address

25660 Highway 82
Gordo, AL 35466-2261

Phone

(205) 364-9800

Fax

(205) 364-1304

NPI assigned

Aug 12, 2005

Last updated

Aug 12, 2014By 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

Mrs. Samantha Ray Davis

Title

Sec Treas

Phone

(205) 364-9800

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1699777219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "354660304",
            "telephone_number": "205-364-9800",
            "fax_number": "205-364-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25660 HIGHWAY 82",
            "city": "GORDO",
            "state": "AL",
            "postal_code": "354662261",
            "telephone_number": "205-364-9800",
            "fax_number": "205-364-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDRENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "205-364-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440925",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009981640",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "51500370MED",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Luke Hagler, DMD
• Mentral Ledbetter, LPC
• Katelin Meredith Lisenby, PHARM.D.
• Amy C Long
• Alicia McGee
• Mills Pills LLC - Gordo (Mills Discount Pharmacy)
• Jennifer Montgomery
• Brooke Owens
• Erika Ammons Payne, LAT, ATC
• Rex Beach Perkins Jr., M.D.

• Durable Medical Equipment & Medical Supplies in Gordo, AL
• Providers in Gordo, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; 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.