Capital Regional Healthcare, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CAPITAL REGIONAL HEALTHCARE, LLC

Practice address

2770 Capital Medical Blvd Ste 200
Tallahassee, FL 32308-8419

Phone

(850) 219-2371

Fax

(844) 275-4685

NPI assigned

Aug 18, 2016

Organization subpart

No

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

Authorized official

Name

Brandy Cottrell

Title

Area Practice Manager

Phone

(850) 219-2371

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Capital Regional Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Capital Regional Healthcare

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1518968551
  NPD tax ID

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1922553072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088419",
            "telephone_number": "850-219-2371",
            "fax_number": "844-275-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 200",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088419",
            "telephone_number": "850-219-2371",
            "fax_number": "844-275-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REGIONAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "AREA PRACTICE MANAGER",
        "authorized_official_telephone_number": "850-219-2371"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417127499",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002275110",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Capital Regional Healthcare LLC
• Capital Regional Heart Associates, LLC
• Capital Regional Medical Group
• Capital Regional Psychiatry Associates, LLC
• Capital Rheumatology Clinic
• Capital Speech and Language Therapy Services LLC

• Durable Medical Equipment & Medical Supplies in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.