SOUTHERN MEDICAL SUPPLY NPI 1346306156

NPI Information

  • NPI: 1346306156
  • Provider Name: SOUTHERN MEDICAL SUPPLY
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Address: 1150 PERIMETER PARK DR
    SUITE A
    COOKEVILLE, TN
    ZIP 38501
  • Phone: (931) 372-2109

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NPI Details

SOUTHERN MEDICAL SUPPLY is an oxygen equipment and supplies durable medical equipment medical supplies in Cookeville, TN. SOUTHERN MEDICAL SUPPLY NPI is 1346306156. The provider is registered as an organization entity type.

The provider's business location address is:

1150 PERIMETER PARK DR
SUITE A
COOKEVILLE, TN
ZIP 38501-927
Phone: (931) 372-2109
Fax: (931) 372-2118

The provider's authorized official is Crystal Marie Pugh .
The authorized official title is Owner and has the following contact phone number (931) 372-2109.

The enumeration date for this NPI number is 12/28/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesTENNESSEEYes

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: 3/30/2025

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