Organization Active NPI

Outreach Medical Supplies, Inc

  • Oxygen Equipment & Supplies (DME)
  • Calhoun, GA
National Provider Identifier
1912106352
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
OUTREACH MEDICAL SUPPLIES, INC
Practice address
609 N Wall St Ste 2
Calhoun, GA 30701-1996
Phone
(706) 629-1050
Fax
(706) 629-1090
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Mr. Emmanuel Bartholomew Ekon
Title
President
Phone
(706) 629-1050

Specialties & licenses 1

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

Addresses

Primary practice location

609 N Wall St Ste 2
Calhoun, GA 30701-1996

Mailing address

609 N Wall St Ste 2
Calhoun, GA 30701-1996
Phone (706) 629-1050

National Provider Directory

National Provider Directory

Locations

515 Airport Rd
Ste 114
Chattanooga, TN 37421
Phone (423) 553-5595

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1912106352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N WALL ST STE 2",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011996",
            "telephone_number": "706-629-1050",
            "fax_number": "706-629-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 N WALL ST STE 2",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307011996",
            "telephone_number": "706-629-1050",
            "fax_number": "706-629-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "EKON",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "BARTHOLOMEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-629-1050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.