Provider Type Icon

DURA MED SOUTHEAST INC. NPI 1679519854


NPI Information

NPI: 1679519854
Provider Name: DURA MED SOUTHEAST, INC.

Doing Business As: SOUTHLAND VITAL CARE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
100 E FRONT ST
EVERGREEN, AL
ZIP 36401
Phone: (251) 578-1333
Get Directions

DURA MED SOUTHEAST, INC. is a durable medical equipment medical supplies in Evergreen, 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. DURA MED SOUTHEAST, INC. NPI is 1679519854. The provider is registered as an organization entity type.
The provider Is Doing Business As Southland Vital Care.

The provider's business location address is:

100 E FRONT ST
EVERGREEN, AL
ZIP 36401-927
Phone: (251) 578-1333
Fax: (251) 578-1333

The provider's authorized official is Jack R. Floyd .
The authorized official title is President and has the following contact phone number (251) 578-1333.

The enumeration date for this NPI number is 6/22/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies111970ALABAMAYes
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized Equipment111970ALABAMAX
3332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition111970ALABAMAX
4332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies111970ALABAMAX
5333600000XPharmacy111970ALABAMAX
63336C0003XPharmacyCommunity/Retail Pharmacy111970ALABAMAX
73336H0001XPharmacyHome Infusion Therapy Pharmacy111970ALABAMAX
83336L0003XPharmacyLong Term Care Pharmacy111970ALABAMAX
93336M0002XPharmacyMail Order Pharmacy111970ALABAMAX
103336S0011XPharmacySpecialty Pharmacy111970ALABAMAX

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
116252100OTHEROWCP
2515-05269OTHERALABAMABCBS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.