Active NPI
Palmetto Medical Equipment of Florence
- Durable Medical Equipment & Medical Supplies
- Florence, SC
National Provider Identifier
1962434779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2686 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930057110 | SC | DME Supplier - Medical Supply Company | 0547461154 | Practice locations: Florence, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Palmetto Medical Equipment of Flore | Osteogenesis Stimulators|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Electroneurodiagnostic Specialist/Technologist
- Florence, SC
- NPI 1588009476
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
- Palmetto Geriatrics, LLC
- Palmetto Imaging, Inc
- Palmetto Imaging, LLC
- Palmetto Infusion Services, LLC
- Palmetto Internal Medicine of Flornece
- Palmetto Oral & Maxillofacial Surgeons
- Palmetto Pediatric Dentistry
- Palmetto Pee Dee Behavioral Health Inc
- Palmetto Pee Dee Behavioral Health, LLC
- Palmetto Pee Dee Behavioral Health, LLC
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.