Organization
MED-SOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J WELLS (VICE-PRESIDENT CORPORATE COMPLIANCE)
(205) 221-8258
Entity
Organization
Contact information
Practice address
1506 5TH AVE S, BIRMINGHAM, AL 35233-1615
(205) 322-5353
(205) 322-5345
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
190
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
900046
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008806240
—
AL
Enumeration date
11/16/2005
Last updated
06/08/2020
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