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TECH MED SUPPLY NPI 1548204753


NPI Information

NPI: 1548204753
Provider Name: TECH MED SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
3900 LAKELAND DR
SUITE 300
FLOWOOD, MS
ZIP 39232
Phone: (601) 932-0673
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TECH MED SUPPLY is a durable medical equipment medical supplies in Flowood, MS. 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. TECH MED SUPPLY NPI is 1548204753. The provider is registered as an organization entity type.

The provider's business location address is:

3900 LAKELAND DR
SUITE 300
FLOWOOD, MS
ZIP 39232-852
Phone: (601) 932-0673
Fax: (601) 420-5299

The provider's authorized official is Ronnie Grogan .
The authorized official title is President / Owner and has the following contact phone number (601) 932-0673.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 1/28/2010.


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 Supplies06345/11.1MISSISSIPPIYes

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
102971738MEDICAIDMISSISSIPPI
24217300001MEDICARE NSCMISSISSIPPI

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: 11/14/2023

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