JERRY WAYNE LATCH (NPI# 1538654199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538654199 |
| Entity Type | Individual |
| Full Name | JERRY WAYNE LATCH |
| Practice Address |
206 N Fillmore St Corinth MS 38834 |
| Mailing Address |
206 N Fillmore St Corinth MS 38834-5634 |
| Practice Telephone | 6622868064 |
| Practice Fax Number | 6622868064 |
| Mailing Telephone | 6622868064 |
| Mailing Fax Number | 6622868064 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 12758939 | MS | Suppliers |
| Street Address |
206 N FILLMORE ST |
| City | CORINTH |
| State | MS |
| Zip Code | 38834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295220762 | Joes Shoes | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834-5634 | 2018-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| 1902292410 | North Mississippi Primary Health Care, Inc. | Clinic/Center | 3114b North Shiloh Road, Corinth, MS 38834 | 2015-04-10 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356876601 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Fm 2181, Corinth, TX 76210 | 2017-04-25 |
| 1447689906 | Elwaine Kendall Johnson | Durable Medical Equipment & Medical Supplies | 1402 N Corinth St, Suite 212b, Corinth, TX 76208-5445 | 2013-11-05 |
| 1134473622 | Advanced Respiratory Solutions, Inc | Durable Medical Equipment & Medical Supplies | 125 Pratt Dr Ste B, Corinth, MS 38834-6041 | 2012-11-05 |
| 1619203007 | Med Supply Center, Inc | Durable Medical Equipment & Medical Supplies | 507 S Fulton Dr, Corinth, MS 38834-6017 | 2009-10-20 |
| 1265601876 | Robert Darrin Hurst, Dpm | Durable Medical Equipment & Medical Supplies | 129 Pratt Dr, Corinth, MS 38834-6026 | 2008-02-27 |
| 1174731822 | Home Therapy, Inc. | Durable Medical Equipment & Medical Supplies | 3114 E Shiloh Rd # A, Corinth, MS 38834-2909 | 2007-05-18 |
| 1003940750 | Urgent Care Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 2668 S Harper Rd Ste 2, Corinth, MS 38834-6770 | 2007-03-15 |
| 1407911043 | North Mississippi Hematology & Oncology Assoc. Ltd | Durable Medical Equipment & Medical Supplies | 201 Alcorn Dr, Corinth, MS 38834-8400 | 2006-12-26 |
| 1518031400 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 3003 Highway 72 W, Corinth, MS 38834-7001 | 2006-11-20 |
| 1306923271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2049 E Shiloh Rd, Corinth, MS 38834-3726 | 2006-10-31 |
| Find all providers in CORINTH | ||||
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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.