Great American Scooter Company Golden Triangle LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREAT AMERICAN SCOOTER COMPANY GOLDEN TRIANGLE LLC

Doing business as

Great American Medical Supply

Practice address

65 N 11TH St
Beaumont, TX 77702-2224

Phone

(409) 833-8300

Fax

(409) 833-8301

NPI assigned

Sep 28, 2006

Last updated

Jan 31, 2012By 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

Mr. Bobby W Sanders

Title

Owner

Phone

(409) 833-8300

Specialties & licenses 2

Addresses

Other names 1

• Great American Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1710079983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022224",
            "telephone_number": "409-833-8300",
            "fax_number": "409-833-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777022224",
            "telephone_number": "409-833-8300",
            "fax_number": "409-833-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT AMERICAN SCOOTER COMPANY GOLDEN TRIANGLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-833-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BD1200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great American Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Lee Graffagnino, LMT
• Jordan Brett Graffagnino, LSA, CSFA
• Lacey N Graffagnino, LSA
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• Shawn Rooney Gray, MSN
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• Durable Medical Equipment & Medical Supplies in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.