Community Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

A ME 0155462 Issued in MI

Legal business name

COMMUNITY MEDICAL EQUIPMENT

Practice address

21505 Van Born Rd
Taylor, MI 48180-1337

Phone

(313) 359-1963

Fax

(313) 359-1966

NPI assigned

Nov 28, 2005

Last updated

May 1, 2008By 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

Mr. Michael J Mazurek

Title

General Manager

Phone

(313) 359-1963

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1891778502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21505 VAN BORN RD",
            "address_2": "SUITE 102",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801337",
            "telephone_number": "313-359-1963",
            "fax_number": "313-359-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21505 VAN BORN RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801337",
            "telephone_number": "313-359-1963",
            "fax_number": "313-359-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "MAZUREK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "313-359-1963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "A ME 0155462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI #",
            "identifier": "0 H2 1732",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4627435",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Taylor, MI
• Providers in Taylor, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.