Excel Diabetic & Medical Company Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

94688 Issued in WV

Legal business name

EXCEL DIABETIC & MEDICAL COMPANY EQUIPMENT

Practice address

1715 Pleasant Valley Rd
Suite 102
Fairmont, WV 26554-9263

Phone

(304) 848-3098

Fax

(304) 848-3098

NPI assigned

Jul 24, 2007

Organization subpart

No

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

Authorized official

Name

Kimberly Ferrise

Title

President

Phone

(304) 848-3098

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1801096235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 PLEASANT VALLEY RD",
            "address_2": "SUITE 102",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549263",
            "telephone_number": "304-848-3098",
            "fax_number": "304-848-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 PLEASANT VALLEY RD",
            "address_2": "SUITE 102",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265549263",
            "telephone_number": "304-848-3098",
            "fax_number": "304-848-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DIABETIC & MEDICAL COMPANY EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "FERRISE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-848-3098"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "94688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Durable Medical Equipment & Medical Supplies in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.