SOUTH MISSISSIPPI HEALTH CARE (NPI# 1326112822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326112822 |
Entity Type | Organization |
Organization Name | SOUTH MISSISSIPPI HEALTH CARE |
Other Organization Name | SOUTHERN MEDICAL SUPPLY |
Practice Address |
2401 Hardy St Suite 20 Hattiesburg MS 39401-5912 |
Practice Telephone | 6015445922 |
Practice Fax Number | 6015445923 |
Mailing Telephone | 6015445922 |
Mailing Fax Number | 6015445923 |
Enumeration Date | 2006-11-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. JAMES DAVID COOK (PRESIDENT) |
Authorized Official Telephone | 6015445922 |
Authorized Official Credential | M.B.A. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
MS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 09622040 | 05 |
Other Name | Type Code |
---|---|
Southern Medical Supply | Doing Business As Name - Organization |
Street Address |
2401 HARDY ST SUITE 20 |
City | HATTIESBURG |
State | MS |
Zip Code | 39401-5912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
Find all providers in zip 39401 |
Taxonomy Code | 332BX2000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Oxygen Equipment & Supplies |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
1699311654 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 6555 U S Highway 98 Ste 5b, Hattiesburg, MS 39402-7625 | 2019-11-25 |
1568775542 | Bzb, LLC | Durable Medical Equipment & Medical Supplies | 13 Power Ln, Hattiesburg, MS 39402-8563 | 2010-07-20 |
1841441755 | Mc Medical, Inc. | Durable Medical Equipment & Medical Supplies | 55 98 Place Blvd, Hattiesburg, MS 39402-8602 | 2008-10-09 |
1821426958 | Magnolia Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 163 Turtle Creek Dr, Ste 160, Hattiesburg, MS 39402-1284 | 2013-10-29 |
1215247051 | Zurcare 008, LLC | Durable Medical Equipment & Medical Supplies | 6117 U S Highway 98, Ste 30, Hattiesburg, MS 39402-8654 | 2010-10-14 |
1538273719 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 5912 U S Highway 49, #c1a, Hattiesburg, MS 39401-7569 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790324614 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2210 Mill Street Ext Ste E, Lucedale, MS 39452-6079 | 2019-12-23 |
1487291977 | Aerocare Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2210 Mill Street Ext Ste F, Lucedale, MS 39452-6079 | 2019-12-04 |
1407402381 | Elite Medical Care, LLC | Durable Medical Equipment & Medical Supplies | 103 Woodland Rd Ste 3, Batesville, MS 38606-8483 | 2019-08-15 |
1396305892 | Regional Health Services LLC | Durable Medical Equipment & Medical Supplies | 920 E Mcdowell Rd, Jackson, MS 39204-5911 | 2019-06-17 |
1396219325 | Tri-state Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 6392 Highway 51 N, Pope, MS 38658-2421 | 2019-01-12 |
1801256508 | Down Home Medical Supply | Durable Medical Equipment & Medical Supplies | 2691 Highway 15, Bay Springs, MS 39422-7431 | 2016-02-24 |
1003214198 | Cook Wholesale Co Inc | Durable Medical Equipment & Medical Supplies | 404 Highway 16 E, Carthage, MS 39051-4208 | 2014-12-05 |
1659719557 | Lexington Medical Supply | Durable Medical Equipment & Medical Supplies | 22743 Highway 12, Lexington, MS 39095-3118 | 2013-06-13 |
1801159157 | Jackson Diabetic Supply | Durable Medical Equipment & Medical Supplies | 569 Highway 6 W, Batesville, MS 38606-9519 | 2012-06-21 |
1790059806 | Community Medical Supply | Durable Medical Equipment & Medical Supplies | 410 S Gloster St, Suite B, Tupelo, MS 38801-5526 | 2012-03-07 |
Find all providers with the same taxonomy |
City | HATTIESBURG |
Zip Code | 39401 |
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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.