SOUTHERN MEDICAL NPI 1376796300

NPI Information

NPI: 1376796300
Provider Name: SOUTHERN MEDICAL

Former Legal Business Name: ED MEDICAL INC

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
106 FREE HILL RD
HENDERSONVILLE, TN
ZIP 37075
Phone: (615) 822-8888
Get Directions

SOUTHERN MEDICAL is a customized equipment durable medical equipment medical supplies in Hendersonville, TN. SOUTHERN MEDICAL NPI is 1376796300. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Ed Medical Inc.

The provider's business location address is:

106 FREE HILL RD
HENDERSONVILLE, TN
ZIP 37075-495
Phone: (615) 822-8888
Fax: (615) 822-8280

The provider's authorized official is Amber Blakely .
The authorized official title is Ceo/owner and has the following contact phone number (615) 822-8888.

The enumeration date for this NPI number is 11/4/2008 and was last updated on 4/5/2023.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			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	0000000444	OTHER	TENNESSEE	STATE LICENSE

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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