BLADDER CONTROL SOLUTIONS, INC (NPI# 1063625960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063625960 |
| Entity Type | Organization |
| Organization Name | BLADDER CONTROL SOLUTIONS, INC |
| Practice Address |
100 Maxwell Dr Vicksburg MS 39183 |
| Mailing Address |
1901 Mission 66 Vicksburg MS 39180-3711 |
| Practice Telephone | 6016360097 |
| Practice Fax Number | 6016299969 |
| Mailing Telephone | 6016360097 |
| Mailing Fax Number | 6016299969 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM H FULCHER JR. (PRES) |
| Authorized Official Telephone | 6016360097 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
100 MAXWELL DR |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215454418 | Whitney Barrier Brock | Registered Nurse | 100 Maxwell Dr, Vicksburg, MS 39180-4476 | 2017-08-28 |
| 1114008901 | Vicksburg Women's Care, Inc | Obstetrics & Gynecology | 100 Maxwell Dr, Vicksburg, MS 39180-4476 | 2006-10-18 |
| 1316028194 | Joseph Austin | Obstetrics & Gynecology | 100 Maxwell Dr, Vicksburg, MS 39180-4476 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217823 | Tracy Curtis | Speech-Language Pathologist | 2100 Us 61, Vicksburg, MS 39183 | 2015-10-09 |
| 1649566894 | The Life Balance Clinic, Behavioral Health Service | Social Worker | 1107 B Openwood St., Vicksburg, MS 39183 | 2011-06-27 |
| 1245428788 | Melanie Joan Waldrop | Nurse Anesthetist, Certified Registered | 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 | 2007-10-10 |
| 1871714477 | Robert Michael Coleman | Dentist | 2356 Grove Street, Vicksburg, MS 39183 | 2007-05-01 |
| 1942363502 | Visions Physical Therapy | Physical Therapist | 110 Holt Collier Dr, Vicksburg, MS 39183 | 2006-12-18 |
| 1023117991 | Janet S Fisher Dmd Pa | Dentist | 1212 Mission 66, Vicksburg, MS 39183 | 2006-09-21 |
| 1407878663 | Annette Bryant | Social Worker | 1107 Openwood St, Vicksburg, MS 39183 | 2006-07-24 |
| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1164945374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2310 Clay St, Vicksburg, MS 39183 | 2017-07-19 |
| 1255777025 | Joyce Wanjugu Muruthi | Obstetrics & Gynecology | 2100 Highway 61 N, Vicksburg, MS 39183 | 2013-05-20 |
| Find all providers in zip 39183 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497117899 | Gamma Healthcare, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3346 Goodman Rd E, Southaven, MS 38672-6433 | 2016-03-24 |
| 1093175838 | Precision Ultrasound Imaging Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 730 Ridgewood Rd Ste B, Ridgeland, MS 39157-4434 | 2016-03-04 |
| 1992084172 | Accurate Medical Diagnostics, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 660 Katherine Dr, Jackson, MS 39232-8847 | 2011-08-05 |
| 1164496626 | Mississippi Mobile Diagnostics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 730 Ridgewood Rd, Suite B, Ridgeland, MS 39157-4426 | 2006-02-13 |
| 1326040841 | Mobile Services, Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1807 24th Ave, Meridian, MS 39301-3116 | 2005-08-15 |
| 1114582848 | Total Imaging of Mississippi | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1216 11th Ave, Meridian, MS 39301-4443 | 2019-05-08 |
| 1407305030 | Medfusion, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2 Old River Pl, Suite C, Jackson, MS 39202-3435 | 2016-09-23 |
| 1932489812 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1855 Lakeland Dr, Ste G10, Jackson, MS 39216-4913 | 2011-08-23 |
| 1619204203 | Pioneer Medical Portable Xray,llc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 100 Clarendon Ave, Petal, MS 39465-2636 | 2009-11-03 |
| 1912185927 | Jason H Clark & Sandra J Clark | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 139 County Road 379, Water Valley, MS 38965-3607 | 2008-02-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.