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SOUTHERN HOME RESPIRATORY INC NPI 1538156278


NPI Information

NPI: 1538156278
Provider Name: SOUTHERN HOME RESPIRATORY INC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1386 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301
Phone: (334) 699-2630
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SOUTHERN HOME RESPIRATORY INC is a durable medical equipment medical supplies in Dothan, AL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SOUTHERN HOME RESPIRATORY INC NPI is 1538156278. The provider is registered as an organization entity type.

The provider's business location address is:

1386 ROSS CLARK CIR
DOTHAN, AL
ZIP 36301-117
Phone: (334) 699-2630
Fax: (334) 699-2639

The provider's authorized official is Kenney Duriel Austin .
The authorized official title is Co-owner/president (corp) and has the following contact phone number (334) 699-2630.

The enumeration date for this NPI number is 9/27/2005 and was last updated on 10/25/2007.


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 & Supplies90265ALABAMANo
2332B00000XDurable Medical Equipment & Medical Supplies117ALABAMAYes

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
11295920001MEDICARE ID-TYPE UNSPECIFIEDALABAMAREGION C
251095523OTHERALABAMABCBS

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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