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MED-SOUTH INC. NPI 1063491843


NPI Information

NPI: 1063491843
Provider Name: MED-SOUTH, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7048 OLD CANTON RD STE 220
RIDGELAND, MS
ZIP 39157
Phone: (601) 933-8400
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MED-SOUTH, INC. is a durable medical equipment medical supplies in Ridgeland, 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. MED-SOUTH, INC. NPI is 1063491843. The provider is registered as an organization entity type.

The provider's business location address is:

7048 OLD CANTON RD STE 220
RIDGELAND, MS
ZIP 39157-021
Phone: (601) 933-8400
Fax: (601) 933-1103

The provider's authorized official is Troy Todd Kestenbaum .
The authorized official title is Vice President and has the following contact phone number (601) 933-8400.

The enumeration date for this NPI number is 1/11/2006 and was last updated on 5/6/2019.


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 Supplies04720/11.1MISSISSIPPIYes

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
100440069MEDICAIDMISSISSIPPI

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

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