Organization
SPECIALTY SERVICES, INC.
Active
Other names
SPECIALTY SERVICES VITAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL J WEILAND (MANAGER)
(662) 358-4500
Entity
Organization
Contact information
Practice address
1627 HIGHWAY 61 JONESTOWN RD, COAHOMA, MS 38617-9790
(662) 358-4500
(662) 358-4500
Mailing address
PO BOX 5047, MERIDIAN, MS 39302-5047
(800) 447-4095
(601) 482-7490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
04428/02.2
MS
332BC3200X
Customized Equipment (DME)
04428/02.2
MS
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
04428/02.2
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
04428/02.2
MS
333600000X
Pharmacy
04428/02.2
MS
3336C0003X
Community/Retail Pharmacy
04428/02.2
MS
3336H0001X
Home Infusion Therapy Pharmacy
04428/02.2
MS
3336L0003X
Long Term Care Pharmacy
04428/02.2
MS
3336M0002X
Mail Order Pharmacy
04428/02.2
MS
3336S0011X
Specialty Pharmacy
04428/02.2
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330666
—
MS
05
—
00440634
—
MS
Enumeration date
08/30/2006
Last updated
04/10/2008
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