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Organization

DURA-QUIP MEDICAL EQUIPMENT INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHIRLEY A FEDERICK (OWNER/GENERAL MANAGER)
(601) 469-3814
Entity
Organization

Contact information

Practice address
2039 HIGHWAY 35 SOUTH, FOREST, MS 39074
(601) 469-3814
(601) 469-3808
Mailing address
2039 HIGHWAY 35 SOUTH, P O BOX 960, FOREST, MS 39074
(601) 469-3814
(601) 469-3808

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
03169/11.1
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
03169/11.1
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00440520
MS
Enumeration date
08/01/2006
Last updated
09/11/2025
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