Organization
BAPTIST HOME MEDICAL SERVICES
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) 414-7525
Entity
Organization
Contact information
Practice address
822 FOLEY ST, JACKSON, MS 39202-3404
(601) 968-9700
(601) 968-9702
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
04419/11.1
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
04419/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00440609
—
MS
Enumeration date
12/15/2005
Last updated
05/20/2008
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