CHARTER MEDICAL LLC NPI 1548455884

NPI Information

  • NPI: 1548455884
  • Provider Name: CHARTER MEDICAL, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 510 AZALEA DRIVE
    SUITE 100
    OXFORD, MS
    ZIP 38655
  • Phone: (662) 533-9000

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NPI Details

CHARTER MEDICAL, LLC is a durable medical equipment medical supplies in Oxford, MS. 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. CHARTER MEDICAL, LLC NPI is 1548455884. The provider is registered as an organization entity type.

The provider's business location address is:

510 AZALEA DRIVE
SUITE 100
OXFORD, MS
ZIP 38655
Phone: (662) 533-9000
Fax: (866) 838-7780

The provider's authorized official is Kenneth K Gowen .
The authorized official title is President and has the following contact phone number (662) 533-9000.

The enumeration date for this NPI number is 9/10/2007 and was last updated on 2/2/2015.

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
1332B00000XDurable Medical Equipment & Medical Supplies07500/11.1MISSISSIPPIYes

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
16004720001MEDICARE NSCMISSISSIPPI
26004720001MEDICARE PIN
3C08502724MEDICARE PINMISSISSIPPI
409458052MEDICAIDMISSISSIPPI

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: 11/21/2025

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