Medical Supply of Nevada, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

MP00438 Issued in NV

Legal business name

MEDICAL SUPPLY OF NEVADA, INC.

Practice address

115 S Water St
Henderson, NV 89015-7221

Phone

(702) 558-9305

Fax

(702) 558-9489

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Miss Erica Michelle Segal

Title

President

Phone

(702) 558-9305

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1851569537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S WATER ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157221",
            "telephone_number": "702-558-9305",
            "fax_number": "702-558-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S WATER ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157221",
            "telephone_number": "702-558-9305",
            "fax_number": "702-558-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY OF NEVADA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-558-9305",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NV",
            "license": "MP00438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Henderson, NV
• Providers in Henderson, NV by specialty
• Oxygen Equipment & Supplies (DME) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.