Organization
MIDSOUTH MEDICAL, INC.
Active
Parent organization
MIDSOUTH MEDICAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDSOUTH MEDICAL, INC.
Authorized official
REBECCA JONES (CEO)
(318) 855-0411
Entity
Organization
Contact information
Practice address
1475 DORCHESTER DRIVE, ALEXANDRIA, LA 71301-3409
(318) 441-0220
(318) 450-4233
Mailing address
P.O. BOX 4927, MONROE, LA 71211-4927
(318) 855-0411
(318) 450-4232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468452
—
LA
Enumeration date
06/23/2022
Last updated
02/25/2025
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