Organization Active NPI

Electromedical Products International, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Mineral Wells, TX
National Provider Identifier
1801939764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0035339C Issued in TX
Legal business name
ELECTROMEDICAL PRODUCTS INTERNATIONAL, INC.
Practice address
2201 Garrett Morris Pkwy
Mineral Wells, TX 76067-9034
Phone
(940) 328-0788
Fax
(940) 328-0888
NPI assigned
Feb 14, 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
Mrs. Tracey B. Kirsch
Title
President
Phone
(940) 328-0788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0035339C TX Primary

Addresses

Primary practice location

2201 Garrett Morris Pkwy
Mineral Wells, TX 76067-9034

Mailing address

2201 Garrett Morris Pkwy
Mineral Wells, TX 76067-9034
Phone (940) 328-0788

Other identifiers 1

IdentifierTypeStateIssuer
530877OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2201 Garrett Morris Pkwy
Mineral Wells, TX 76067
Phone (940) 328-0788

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801939764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 GARRETT MORRIS PKWY",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760679034",
            "telephone_number": "940-328-0788",
            "fax_number": "940-328-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GARRETT MORRIS PKWY",
            "city": "MINERAL WELLS",
            "state": "TX",
            "postal_code": "760679034",
            "telephone_number": "940-328-0788",
            "fax_number": "940-328-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROMEDICAL PRODUCTS INTERNATIONAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSCH",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-328-0788",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0035339C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "530877",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Wells, TX

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.