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SOUTH MISSISSIPPI HEALTH CARE NPI 1326112822


NPI Information

NPI: 1326112822
Provider Name: SOUTH MISSISSIPPI HEALTH CARE

Doing Business As: SOUTHERN MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
2401 HARDY ST
SUITE 20
HATTIESBURG, MS
ZIP 39401
Phone: (601) 544-5922
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SOUTH MISSISSIPPI HEALTH CARE is an oxygen equipment and supplies durable medical equipment medical supplies in Hattiesburg, MS. SOUTH MISSISSIPPI HEALTH CARE NPI is 1326112822. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Medical Supply.

The provider's business location address is:

2401 HARDY ST
SUITE 20
HATTIESBURG, MS
ZIP 39401-912
Phone: (601) 544-5922
Fax: (601) 544-5923

The provider's authorized official is James David Cook .
The authorized official title is President and has the following contact phone number (601) 544-5922.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.


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 & SuppliesMISSISSIPPIYes

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
109622040MEDICAIDMISSISSIPPI

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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