Active NPI
Med Rent Inc
- Durable Medical Equipment & Medical Supplies
- Walled Lake, MI
National Provider Identifier
1851401376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MED RENT INC
- Practice address
- 929 N Pontiac Trail
Walled Lake, MI 48390-3235 - Phone
- (248) 926-9694
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond George McCollum
- Title
- Owner Ceo
- Phone
- (248) 926-1133
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MI | Primary |
Addresses
Primary practice location
929 N Pontiac Trail
Walled Lake, MI 48390-3235
Mailing address
929 N Pontiac TRL
Walled Lake, MI 48390-3235
Phone (248) 798-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4964829 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
929 N Pontiac Trl
Walled Lake, MI 48390
Phone (248) 926-1133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1851401376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 N PONTIAC TRL",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483903235",
"telephone_number": "248-798-0009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 N PONTIAC TRAIL",
"city": "WALLED LAKE",
"state": "MI",
"postal_code": "483903235",
"telephone_number": "248-926-9694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED RENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "MCCOLLUM",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "OWNER CEO",
"authorized_official_telephone_number": "248-926-1133"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4964829",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walled Lake, 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.