Red River Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RED RIVER SUPPLIES, LLC

Practice address

219 Scott St
Suite 177
Beaufort, SC 29902-5554

Phone

(912) 433-0419

NPI assigned

Apr 16, 2015

Organization subpart

No

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

Authorized official

Name

Mark Brown

Title

Owner

Phone

(912) 433-0419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429142400000",
    "number": "1942697024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 SCOTT ST",
            "address_2": "SUITE 177",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025554",
            "telephone_number": "912-433-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 SCOTT ST",
            "address_2": "SUITE 177",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299025554",
            "telephone_number": "912-433-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-433-0419"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ray Health & Performance
• Glyness Ray
• Joshua Ray, DPT
• Karin Raymond
• Charles J. Reamy, MD
• Augusta M. Reed, M.S., M.A., CCC/SP
• Kimberly Reed, BA
• Ryan Reed, DPT
• Evan C Reese Jr., M.D.
• Jennifer Reese

• Durable Medical Equipment & Medical Supplies in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Durable Medical Equipment & Medical Supplies in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; 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.