Organization
MED-MART HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNEY BLEASE BUTLER (CO-OWNER)
(662) 489-9330
Entity
Organization
Contact information
Practice address
225 MAGGIE DR, PONTOTOC, MS 38863-8631
(662) 489-9330
(662) 489-9363
Mailing address
PO BOX 616, PONTOTOC, MS 38863-0616
(662) 489-9330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1132590001
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
1132590001
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0440402
—
MS
Enumeration date
07/12/2005
Last updated
09/27/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us