WAVERLEY HEALTH CARE CONSULTANTS INC. NPI 1164472866

NPI Information

NPI: 1164472866
Provider Name: WAVERLEY HEALTH CARE CONSULTANTS, INC.

Doing Business As: HEALTH CARE CONSULTANTS

Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
460 BRIARWOOD DR
SUITE 410
JACKSON, MS
ZIP 39206
Phone: (601) 956-1576
Get Directions

WAVERLEY HEALTH CARE CONSULTANTS, INC. is a parenteral and enteral nutrition durable medical equipment medical supplies in Jackson, MS. WAVERLEY HEALTH CARE CONSULTANTS, INC. NPI is 1164472866. The provider is registered as an organization entity type.
The provider Is Doing Business As Health Care Consultants.

The provider's business location address is:

460 BRIARWOOD DR
SUITE 410
JACKSON, MS
ZIP 39206-051
Phone: (601) 956-1576

The provider's authorized official is Chancey Dunbar .
The authorized official title is Secretary / Treasurer and has the following contact phone number (601) 956-1576.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 3/11/2008.

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	335E00000X	Prosthetic/Orthotic Supplier		0618408	MISSISSIPPI	No
2	332B00000X	Durable Medical Equipment & Medical Supplies		0618408	MISSISSIPPI	No
3	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	0618408	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	0820120001	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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