Organization Active NPI

Ambulatory Equipment Service,Inc

  • Durable Medical Equipment & Medical Supplies
  • Magee, MS
National Provider Identifier
1982650651
Registry record updated Mar 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
02319/11.1 Issued in MS
Legal business name
AMBULATORY EQUIPMENT SERVICE,INC
Practice address
805 3Rd St SW
Magee, MS 39111
Phone
(601) 849-4125
Fax
(601) 849-7523
NPI assigned
May 25, 2006
Last updated
Mar 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2010

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

Authorized official

Name
Mr. Joseph S. McNulty III, CRT
Title
President
Phone
(601) 849-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 02319/11.1 MS Primary

Addresses

Primary practice location

805 3Rd St SW
Magee, MS 39111

Mailing address

PO Box 426
Magee, MS 39111-0426
Phone (601) 849-4125

Other identifiers 1

IdentifierTypeStateIssuer
00040047MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930037670 MS DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Orthotic PersonnelDME Supplier - Oxygen & Equipment 8224155882 Practice locations: Forest, MS

National Provider Directory

National Provider Directory
Tax ID family
Ambulatory Equipment Serviceinc2 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.

Locations

203 W Main St
Forest, MS 39074
Phone (601) 564-4494

526 Deerfield Dr
Unit C
Forest, MS 39074
Phone (601) 469-0291

805 3rd St SW
Magee, MS 39111
Phone (601) 849-2734

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268352000000",
    "number": "1982650651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "391110426",
            "telephone_number": "601-849-4125",
            "fax_number": "601-849-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 3RD ST SW",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "39111",
            "telephone_number": "601-849-4125",
            "fax_number": "601-849-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY EQUIPMENT SERVICE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-03-12",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-849-4112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "CRT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "02319/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040047",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magee, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.