WILLIAM MCCOY NPI 1083078786

NPI Information

NPI: 1083078786
Provider Name: WILLIAM MCCOY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Individual
Address:
415 W MAIN ST
SUITE B
JACKSON, MO
ZIP 63755
Phone: (573) 290-2841
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William Mccoy is a durable medical equipment medical supplies in Jackson, MO. 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. William Mccoy NPI is 1083078786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 W MAIN ST
SUITE B
JACKSON, MO
ZIP 63755-801
Phone: (573) 290-2841
Fax: (573) 290-2881

The enumeration date for this NPI number is 4/8/2016 and was last updated on 4/8/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	81-2146580	OTHER	MISSOURI	EIN NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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