Organization
MSI HOME MEDICAL SERVICES, LLC
Active
Parent organization
MED SOUTH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MED SOUTH INC
Authorized official
MR. STEWART H PACE (PRESIDENT, BOARD OF MANAGERS)
(205) 655-6566
Entity
Organization
Contact information
Practice address
2203 HWY 39 N STE A, MERIDIAN, MS 39301-2609
(601) 693-2005
(601) 693-0060
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
Primary
04420/11.1
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
04420/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440604
—
MS
Enumeration date
12/15/2005
Last updated
09/16/2010
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