Organization Active NPI

Major Medical Equipment Co of Chattanooga

  • Durable Medical Equipment & Medical Supplies
  • Hixson, TN
National Provider Identifier
1780736801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
43096800 Issued in TN
Legal business name
MAJOR MEDICAL EQUIPMENT CO OF CHATTANOOGA
Practice address
6619 White Sands Lane
Hixson, TN 37343-3184
Phone
(423) 842-7269
Fax
(423) 842-7269
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John James Fabish, RRT
Title
Coo
Phone
(423) 842-7269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 43096800 TN Primary

Addresses

Primary practice location

6619 White Sands Lane
Hixson, TN 37343-3184

Mailing address

6619 White Sands Lane
Hixson, TN 37343-3184
Phone (423) 842-7269

Other identifiers 1

IdentifierTypeStateIssuer
1158050001MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780736801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 WHITE SANDS LANE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433184",
            "telephone_number": "423-842-7269",
            "fax_number": "423-842-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 WHITE SANDS LANE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433184",
            "telephone_number": "423-842-7269",
            "fax_number": "423-842-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR MEDICAL EQUIPMENT CO OF CHATTANOOGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FABISH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "423-842-7269",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "43096800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158050001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.