Organization
DIVERSIFIED HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN D HAMILTON (OWNER)
(662) 324-1799
Entity
Organization
Contact information
Practice address
403 HOSPITAL RD, STARKVILLE, MS 39759-2164
(662) 324-1799
(662) 323-5719
Mailing address
PO BOX 2371, STARKVILLE, MS 39760-2371
(662) 324-1799
(662) 323-5719
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
02369/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00040247
—
MS
Enumeration date
06/18/2006
Last updated
08/22/2020
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