Organization Active NPI

Allen Medical Supply, Inc

  • Oxygen Equipment & Supplies (DME)
  • Opelousas, LA
National Provider Identifier
1902993504
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ALLEN MEDICAL SUPPLY, INC
Practice address
209 N Market St
Opelousas, LA 70570-5263
Phone
(337) 948-8611
Fax
(337) 948-6138
NPI assigned
Oct 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Alden Thibodeaux, OWNER
Title
President
Phone
(337) 948-8611

Specialties & licenses 1

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

Addresses

Primary practice location

209 N Market St
Opelousas, LA 70570-5263

Mailing address

PO Box 2087
Opelousas, LA 70571-2087
Phone (337) 948-8611

Other identifiers 1

IdentifierTypeStateIssuer
1551422MedicaidLA

National Provider Directory

National Provider Directory

Locations

209 N Market St
Ste 2
Opelousas, LA 70570
Phone (337) 948-8611

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902993504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705712087",
            "telephone_number": "337-948-8611",
            "fax_number": "337-948-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N MARKET ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705263",
            "telephone_number": "337-948-8611",
            "fax_number": "337-948-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THIBODEAUX",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-948-8611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "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": "1551422",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.