Avritt Medical Equipment, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

06166/11.1 Issued in MS

Legal business name

AVRITT MEDICAL EQUIPMENT, INC.

Practice address

208 E Baker St
Indianola, MS 38751-2404

Phone

(662) 887-4055

Fax

(662) 884-0888

NPI assigned

Jun 21, 2005

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lillian Dell Hyde

Title

VP

Phone

(662) 843-7007

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Avritt Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, MS
  • NPI 1417953969

  1557473824

  Same PAC ID
• Avritt Medical Equipment, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Clarksdale, MS
  • NPI 1629009063

  1557473824

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Avritt Medical Equipment Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Avritt Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Cleveland, MS
  • NPI 1417953969
  NPD tax ID
• Avritt Medical Equipment, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Clarksdale, MS
  • NPI 1629009063
  NPD tax ID

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1821094285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 HIGHWAY 8",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387328551",
            "telephone_number": "662-843-7007",
            "fax_number": "662-843-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E BAKER ST",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512404",
            "telephone_number": "662-887-4055",
            "fax_number": "662-884-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVRITT MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "HYDE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "DELL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "662-843-7007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "06166/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07153834",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Indianola, MS
• Providers in Indianola, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.