LONGWIND PRODUCT & SERVICE INC NPI 1407889934

NPI Information

NPI: 1407889934
Provider Name: LONGWIND PRODUCT & SERVICE, INC
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
205 W WOODROW WILSON AVE
JACKSON, MS
ZIP 39213
Phone: (601) 366-2215
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LONGWIND PRODUCT & SERVICE, INC is a parenteral and enteral nutrition durable medical equipment medical supplies in Jackson, MS. LONGWIND PRODUCT & SERVICE, INC NPI is 1407889934. The provider is registered as an organization entity type.

The provider's business location address is:

205 W WOODROW WILSON AVE
JACKSON, MS
ZIP 39213-647
Phone: (601) 366-2215
Fax: (601) 366-9813

The provider's authorized official is Lonnie Walker .
The authorized official title is Ceo and has the following contact phone number (601) 366-2215.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 5/20/2008.

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	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	06693/11.1	MISSISSIPPI	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	00440160	MEDICAID	MISSISSIPPI
2	0755100001	MEDICARE NSC	MISSISSIPPI

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

NPI Synchronization or Removal

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