Organization Active NPI

Corr Medical Supplies & Equipment

  • Durable Medical Equipment & Medical Supplies
  • Detroit, MI
National Provider Identifier
1780631218
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
A Issued in MI
Legal business name
CORR MEDICAL SUPPLIES & EQUIPMENT
Doing business as
Corr Medical Supplies & Equipment
Practice address
17010 West Warren Ave
Detroit, MI 48228-3566
Phone
(313) 216-9733
Fax
(313) 216-9734
NPI assigned
May 29, 2006
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
Mr. Clement Francis Ekpenyong
Title
Owner
Phone
(313) 216-9733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X A MI Primary

Addresses

Primary practice location

17010 West Warren Ave
Detroit, MI 48228-3566

Mailing address

PO Box 28365
Detroit, MI 48228-0365
Phone (313) 216-9733

Other names 1

  • Corr Medical Supplies & Equipment Doing business as

National Provider Directory

National Provider Directory

Locations

17010 W Warren Ave
Detroit, MI 48228
Phone (313) 216-9733

NPI Registry JSON

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780631218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28365",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482280365",
            "telephone_number": "313-216-9733",
            "fax_number": "313-216-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17010 WEST WARREN AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482283566",
            "telephone_number": "313-216-9733",
            "fax_number": "313-216-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORR MEDICAL SUPPLIES & EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EKPENYONG",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-216-9733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corr Medical Supplies & Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, 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.