MERCHANT HOME MEDICAL SERVICESLLC NPI 1598812984

NPI Information

NPI: 1598812984
Provider Name: MERCHANT HOME MEDICAL SERVICES,LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
105 W CENTRAL AVE
VALDOSTA, GA
ZIP 31601
Phone: (229) 257-0024
Get Directions

MERCHANT HOME MEDICAL SERVICES,LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Valdosta, GA. MERCHANT HOME MEDICAL SERVICES,LLC NPI is 1598812984. The provider is registered as an organization entity type.

The provider's business location address is:

105 W CENTRAL AVE
VALDOSTA, GA
ZIP 31601-508
Phone: (229) 257-0024
Fax: (229) 247-8200

The provider's authorized official is Stacy Lynn Lewis Denmark .
The authorized official title is Owner and has the following contact phone number (540) 931-4211.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 7/10/2023.

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	3336C0003X	Pharmacy	Community/Retail Pharmacy	PHRE0085835	GEORGIA	No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			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	000912513A	MEDICAID	GEORGIA
2	PHRE008535	OTHER	GEORGIA	RETAIL PHARMACY

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: 5/5/2024

NPI Synchronization or Removal

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