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Organization

STANDARD MEDICAL EQUIPMENT CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH ALLEN KALAGIAN (PRESIDENT)
(601) 607-4192
Entity
Organization

Contact information

Practice address
103 E FORD ST, RIDGELAND, MS 39157-3409
(601) 607-4192
Mailing address
PO BOX 420, RIDGELAND, MS 39158-0420
(601) 607-4192

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
07090/11.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01404720
MS
Enumeration date
08/28/2006
Last updated
07/13/2011
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