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TARGET MEDICAL INC. NPI 1720055908


NPI Information

NPI: 1720055908
Provider Name: TARGET MEDICAL, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2158 HEYDE AV
STE 7
MEMPHIS, TN
ZIP 38114
Phone: (901) 323-1304
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TARGET MEDICAL, INC. is a durable medical equipment medical supplies in Memphis, TN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. TARGET MEDICAL, INC. NPI is 1720055908. The provider is registered as an organization entity type.

The provider's business location address is:

2158 HEYDE AV
STE 7
MEMPHIS, TN
ZIP 38114-840
Phone: (901) 323-1304
Fax: (901) 323-1275

The provider's authorized official is Thomas R Brockway .
The authorized official title is President and has the following contact phone number (901) 323-1304.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 3/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies04203 / 11.1MISSISSIPPINo
2332B00000XDurable Medical Equipment & Medical SuppliesMG01258ARKANSASNo
3332B00000XDurable Medical Equipment & Medical Supplies0000001104TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120077OTHERTENNESSEETLC HME/DME PROVIDER
2MG01258OTHERARKANSASBOARD OF PHARMACY - SUPPLIER OF MEDICAL EQUIPMENT, & MEDICAL GAS PERMIT
3=========OTHERARKANSASARKANSAS MEDICAID
4=========OTHERTENNESSEEAETNA
53008232OTHERTENNESSEETCS/BCBS HME/DME PROVIDR
6=========OTHERTENNESSEEUAHC - HME/DME PROVIDER
70754320001MEDICARE NSCTENNESSEE
81452059MEDICAIDTENNESSEE
9=========OTHERWISCONSINHUMANA HME/DME
10=========OTHERKENTUCKYHUMANA GOLD DME/HME
11=========OTHERTENNESSEECIGNA HME/DME
12=========OTHERIOWAHOMELINK HME/DME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.