Organization
BURNHAM'S VITAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN CRAIG SARTIN (PRESIDENT)
(228) 474-4663
Entity
Organization
Contact information
Practice address
4931 MAIN ST # B, MOSS POINT, MS 39563-2746
(228) 474-4663
(228) 474-7660
Mailing address
4931 MAIN ST # B, MOSS POINT, MS 39563-2746
(228) 474-4663
(228) 474-7660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
05113021
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
05113021
MS
333600000X
Pharmacy
05113021
MS
3336C0003X
Community/Retail Pharmacy
05113021
MS
3336H0001X
Home Infusion Therapy Pharmacy
Primary
05113021
MS
3336M0002X
Mail Order Pharmacy
05113021
MS
3336S0011X
Specialty Pharmacy
05113021
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000030050
BCBS OF MS
MS
05
—
02577580
—
MS
05
—
1268160
—
MS
01
—
2520840
NABP
—
01
—
611333100
OWCP - DME
MS
Enumeration date
11/08/2006
Last updated
12/12/2022
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