Organization Active NPI

Hamtramck Durable Medical Equipment

  • Customized Equipment (DME)
  • Hamtramck, MI
National Provider Identifier
1750459277
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HAMTRAMCK DURABLE MEDICAL EQUIPMENT
Practice address
11653 Joseph Campau St
Hamtramck, MI 48212-3839
Phone
(313) 365-9802
Fax
(313) 365-9804
NPI assigned
Dec 1, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Shamima Monnan
Title
President
Phone
(313) 365-9802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X MI Primary

Addresses

Primary practice location

11653 Joseph Campau St
Hamtramck, MI 48212-3839

Mailing address

11653 Joseph Campau St
Hamtramck, MI 48212-3839
Phone (313) 365-9802

Other identifiers 1

IdentifierTypeStateIssuer
540H225670OtherMIBLUE CROSS BLUE SHEILD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750459277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11653 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123839",
            "telephone_number": "313-365-9802",
            "fax_number": "313-365-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11653 JOSEPH CAMPAU ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123839",
            "telephone_number": "313-365-9802",
            "fax_number": "313-365-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMTRAMCK DURABLE MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MONNAN",
        "authorized_official_first_name": "SHAMIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-365-9802",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "540H225670",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamtramck, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.