Organization
MED-SOUTH, INC.
Active
Other names
Duncan Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
LISA J WELLS CPCO (VICE-PRESIDENT CORPORATE COMPLIANCE)
(205) 221-8258
Entity
Organization
Contact information
Practice address
1706 GLENN BLVD. SW, FT. PAYNE, AL 35968-3543
(256) 845-3309
(256) 845-6105
Mailing address
406 MEDICAL CENTER DRIVE, JASPER, AL 35501-3400
(205) 221-8200
(205) 221-8270
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
137
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
900164
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000052881
—
AL
Enumeration date
12/15/2005
Last updated
11/02/2022
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