Organization Active NPI

Palmetto Medical Equipment of Florence

  • Durable Medical Equipment & Medical Supplies
  • Florence, SC
National Provider Identifier
1962434779
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PALMETTO MEDICAL EQUIPMENT OF FLORENCE
Practice address
658 S Coit St
Florence, SC 29501-5255
Phone
(843) 629-8236
Fax
(843) 629-8261
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Jessica McCracken
Title
Cfo
Phone
(843) 629-8236

Specialties & licenses 1

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

Addresses

Primary practice location

658 S Coit St
Florence, SC 29501-5255

Mailing address

658 S Coit St
Florence, SC 29501-5255
Phone (843) 629-8236

Other identifiers 1

IdentifierTypeStateIssuer
DE2686MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930057110 SC DME Supplier - Medical Supply Company 0547461154 Practice locations: Florence, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Palmetto Medical Equipment of Flore658 S Coit St, Florence, SC 29501-5255(843) 629-8236 Osteogenesis Stimulators|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies Accepts assignmentParticipating since Jan 1, 2017

National Provider Directory

National Provider Directory

Locations

658 S Coit St
Florence, SC 29501
Phone (843) 629-8236

418A S Coit St
Florence, SC 29501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1962434779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015255",
            "telephone_number": "843-629-8236",
            "fax_number": "843-629-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 S COIT ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015255",
            "telephone_number": "843-629-8236",
            "fax_number": "843-629-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO MEDICAL EQUIPMENT OF FLORENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MCCRACKEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-629-8236"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE2686",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.