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MIDSTATE MEDICAL SERVICE NPI 1245276112


NPI Information

NPI: 1245276112
Provider Name: MIDSTATE MEDICAL SERVICE
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
1507 MULBERRY ST
MONTGOMERY, AL
ZIP 36106
Phone: (334) 263-6034
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MIDSTATE MEDICAL SERVICE is an oxygen equipment and supplies durable medical equipment medical supplies in Montgomery, AL. MIDSTATE MEDICAL SERVICE NPI is 1245276112. The provider is registered as an organization entity type.

The provider's business location address is:

1507 MULBERRY ST
MONTGOMERY, AL
ZIP 36106-519
Phone: (334) 263-6034
Fax: (334) 264-2436

The provider's authorized official is Richard Cherry .
The authorized official title is President and has the following contact phone number (334) 263-6034.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 6/20/2018.


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
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies0003497ALABAMAYes

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
14582366MEDICAIDTENNESSEE
2000051822MEDICAIDALABAMA
3304307OTHERALABAMACOMBINED INS. CO. OF AMER
4U98718OTHERALABAMAAMERIHEALTH PROV. NUM.
5304307OTHERALABAMAHEALTH INS. CORP. OF ALA.
60007965237OTHERALABAMAAETNA PROVIDER NUMBER
7V16192OTHERALABAMAVGM/HOMELINK PROV. NUM.
851051822MIDOTHERALABAMABCBS PROVIDER NUMBER
9=========OTHERALABAMATRICARE PROVIDER NUMBER
10=========OTHERALABAMAVIVA MEDICARE PLUS
11=========OTHERALABAMAVIVA HEALTH, INC.

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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