Organization Active NPI

Southern Medical Equipment, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Winnsboro, LA
National Provider Identifier
1851458186
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
SOUTHERN MEDICAL EQUIPMENT, INC.
Practice address
3828 Front St
Winnsboro, LA 71295-2953
Phone
(318) 435-0500
Fax
(318) 435-7010
NPI assigned
Jan 3, 2007
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Mr. David M. Lord
Title
President
Phone
(318) 435-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X LA Primary

Addresses

Primary practice location

3828 Front St
Winnsboro, LA 71295-2953

Mailing address

PO Box 397
Winnsboro, LA 71295-0397
Phone (318) 435-0500

Other identifiers 1

IdentifierTypeStateIssuer
1432016MedicaidLA

National Provider Directory

National Provider Directory

Locations

3828 Front St
Winnsboro, LA 71295
Phone (318) 435-0500

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1851458186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 397",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712950397",
            "telephone_number": "318-435-0500",
            "fax_number": "318-435-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 FRONT ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952953",
            "telephone_number": "318-435-0500",
            "fax_number": "318-435-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "LORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-435-0500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1432016",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.