=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003825696
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DOWNEY MEDICAL INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2006
-----------------------------------------------------
Last Update Date | 03/07/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 317 E 10TH ST
-----------------------------------------------------
City | ANNISTON
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36207-5707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-238-8991
-----------------------------------------------------
Fax | 256-236-6274
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 317 E 10TH ST
-----------------------------------------------------
City | ANNISTON
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 36207-5707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 256-238-8991
-----------------------------------------------------
Fax | 256-236-6274
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. JAMES C DOWNEY
-----------------------------------------------------
Credential | RHPH
-----------------------------------------------------
Telephone | 256-238-8991
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 2098
-----------------------------------------------------
License Number State | AL
-----------------------------------------------------