HEALTHCARE SERVICES OF MISSISSIPPI INC (NPI# 1841260387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841260387 |
| Entity Type | Organization |
| Organization Name | HEALTHCARE SERVICES OF MISSISSIPPI INC |
| Other Organization Name | SOUTHERN MEDICAL |
| Practice Address |
316 N Davis Ave Suite B Cleveland MS 38732-2303 |
| Mailing Address |
Po Box 536576 Orlando FL 32853-6576 |
| Practice Telephone | 6628432504 |
| Practice Fax Number | 6628432580 |
| Mailing Telephone | 4072461226 |
| Mailing Fax Number | 4076482297 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2013-08-15 |
| Authorized Official Name | MRS. ROBIN L MENCHEN (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Telephone | 4078224600 |
| Is Organization Subpart | Y |
| Parent Organization Name | ROTECH HEALTHCARE INC |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| N | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00440523 | 05 | |
| AR | 197482716 | 05 |
| Other Name | Type Code |
|---|---|
| SOUTHERN MEDICAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487624334 | Healthcare Services of Mississippi Inc | Durable Medical Equipment & Medical Supplies | 934 Broadway Dr Ste 30, Hattiesburg, MS 39401-7516 | 2006-01-24 |
| Street Address |
316 N DAVIS AVE SUITE B |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861618787 | Prime Care Hospice, Inc. | Hospice Care, Community Based | 316 N Davis Ave, Suite C, Cleveland, MS 38732-2303 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| 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 |
|---|---|---|---|---|
| 1467072363 | Buckeye Dme, LLC | Durable Medical Equipment & Medical Supplies | 11201 Shaker Blvd Ste 322, Cleveland, OH 44104-3871 | 2020-04-21 |
| 1194382721 | Great Lakes Neurotechnologies | Durable Medical Equipment & Medical Supplies | 6100 Rockside Woods Blvd N Ste 415, Cleveland, OH 44131-2339 | 2019-05-20 |
| 1326505033 | Cpap Equipsource | Durable Medical Equipment & Medical Supplies | 6629 Engle Rd Ste 106, Cleveland, OH 44130-7943 | 2019-02-28 |
| 1417424938 | Northern Ohio Medical Specialists, LLC | Durable Medical Equipment & Medical Supplies | 2905 Lorain Ave, Cleveland, OH 44113-3405 | 2018-11-02 |
| 1508331471 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1744 Payne Ave Ste P1, Cleveland, OH 44114-2910 | 2018-10-08 |
| 1699271999 | Pharmco | Durable Medical Equipment & Medical Supplies | 570 Paul Huff Pkwy Nw, Cleveland, TN 37312-2957 | 2018-04-04 |
| 1033624457 | Eastside Dme Supply | Durable Medical Equipment & Medical Supplies | 2775 S Moreland Blvd Fl 3, Cleveland, OH 44120-2397 | 2017-12-07 |
| 1437601804 | Anesthesia Services Associates | Durable Medical Equipment & Medical Supplies | 903 E Sunflower Rd Ste 200, Cleveland, MS 38732-2836 | 2016-11-01 |
| 1730550062 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10001 Chester Ave Ste B, Cleveland, OH 44106-1659 | 2015-10-13 |
| 1013383553 | K Va T Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 255 Ocoee Xing Nw, Cleveland, TN 37312-4872 | 2015-08-19 |
| Find all providers in CLEVELAND | ||||
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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.