Local City Search for Medical Equipment Suppliers SOUTHGATE DURABLE MEDICAL EQUIPMENTS
Medical Equipment Supplier Yellow Pages
Southaven, Mississippi
Provider NPI: 1760551592
Organization Information:Organization Name: SOUTHGATE DURABLE MEDICAL EQUIPMENTS
Practice Location:
3352 GOODMAN RD E SOUTHAVEN, MS 38672 US
Tel: 662-253-0021 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3352 GOODMAN RD E SOUTHAVEN, MS 38672 US
Tel: 662-253-0021 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | MS | 2473 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 04150524 | MS | 05 | |
| TENNCARE | 4582511 | TN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
