Bamberg Medical Equipment & Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

65006621 Issued in SC

Legal business name

BAMBERG MEDICAL EQUIPMENT & SUPPLY

Practice address

3109 Main Hwy
Bamberg, SC 29003-1614

Phone

(803) 245-1708

Fax

(803) 245-7306

NPI assigned

Aug 24, 2005

Last updated

Jun 29, 2011By 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

Michael L Williams

Title

Owner

Phone

(803) 245-1708

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1871586974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 RUTLEDGE ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290204312",
            "telephone_number": "803-425-7352",
            "fax_number": "803-713-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 MAIN HWY",
            "city": "BAMBERG",
            "state": "SC",
            "postal_code": "290031614",
            "telephone_number": "803-245-1708",
            "fax_number": "803-245-7306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAMBERG MEDICAL EQUIPMENT & SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-245-1708"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "SC",
            "license": "65006621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2143",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bamberg County Memorial Hospital Swing Bed
• Bamberg County Memorial Nursing Center
• Bamberg Emergency Group PC
• Bamberg Health Investors (Hiers Drug Store)
• Bamberg Job Corp.
• Bamberg Rescue Squad, Inc
• Bamberg School District 1
• Barnwell County Hospital (Bamberg Medical Center)
• Barnwell County Hospital (Bamberg Rural Health Clinic RHC)
• Alton James Beaubeouf Jr., D.C.

• Oxygen Equipment & Supplies (DME) in Bamberg, SC
• Providers in Bamberg, SC by specialty
• Oxygen Equipment & Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.