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Organization
MED SOUTH, INC.
Active
Organization
MED SOUTH, INC.
Active
Parent organization
COMMUNITY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH SERVICES
Authorized official
MR. STEWART H PACE (SR VICE PRES OF CORP DEVELOPEMENT)
(205) 414-7525
Entity
Organization
Contact information
Practice address
4267 WOODBINE RD, PACE, FL 32571-8704
(850) 994-1288
(850) 994-7843
Mailing address
406 MEDICAL CENTER DR, JASPER, AL 35501-3400
(205) 221-8200
(205) 221-8270
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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