Organization
PHOENIX HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLAND B WALL III (OWNER)
(601) 932-3397
Entity
Organization
Contact information
Practice address
199 INTERSTATE DR, SUITE U, RICHLAND, MS 39218-4428
(601) 932-3397
(601) 932-3398
Mailing address
199 INTERSTATE DR, SUITE U, RICHLAND, MS 39218-4428
(601) 932-3397
(601) 932-3398
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06824216
—
MS
Enumeration date
09/21/2006
Last updated
09/23/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us