Organization
MED SOUTH, INC
Active
Parent organization
COMMUNITY HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY HEALTH SERVICES
Authorized official
ERIC J SHIFLET (COO/PRESIDENT)
(205) 221-8200
Entity
Organization
Contact information
Practice address
7044 ATLANTA HWY, MONTGOMERY, AL 36117-4242
(334) 593-8539
(334) 593-8540
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
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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