Organization
ADVANCED MEDICAL SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH EVETTE MORRIS (CEO)
(228) 831-0430
Entity
Organization
Contact information
Practice address
12257A ASHLEY DR, GULFPORT, MS 39503-2775
(228) 831-0430
(228) 831-0421
Mailing address
PO BOX 10139, GULFPORT, MS 39505-0139
(228) 831-0430
(228) 831-0421
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
024303919
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03987243
—
MS
01
—
1023192
PROVIDER ID - ACM
—
01
—
169064100
PROVIDER ID - ACS
—
01
—
82-0003
PROVIDER ID - UHC
—
Enumeration date
09/20/2006
Last updated
04/03/2023
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