Organization Active NPI

Health Care Equipment & Services

  • Durable Medical Equipment & Medical Supplies
  • Vidalia, GA
National Provider Identifier
1912077934
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2006000451 Issued in GA
Legal business name
HEALTH CARE EQUIPMENT & SERVICES
Practice address
303 Maple Dr
Vidalia, GA 30474-8908
Phone
(912) 565-8820
Fax
(912) 565-0293
NPI assigned
Nov 8, 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
Mrs. Linda M Abbott
Title
Administrator
Phone
(912) 565-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2006000451 GA Primary

Addresses

Primary practice location

303 Maple Dr
Vidalia, GA 30474-8908

Mailing address

303 Maple Dr
Vidalia, GA 30474-8908
Phone (912) 565-8820

Other identifiers 1

IdentifierTypeStateIssuer
00188812AMedicaidGA

National Provider Directory

National Provider Directory

Locations

303 Maple Dr
Vidalia, GA 30474
Phone (912) 565-8820

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912077934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748908",
            "telephone_number": "912-565-8820",
            "fax_number": "912-565-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748908",
            "telephone_number": "912-565-8820",
            "fax_number": "912-565-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE EQUIPMENT & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "912-565-8820",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "2006000451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00188812A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vidalia, GA

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.