Organization
EXECUTIVE MEDICAL SUPPLIES LLC
Active
Parent organization
EXECUTIVE MEDICAL SUPPLIES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXECUTIVE MEDICAL SUPPLIES LLC
Authorized official
MILO COLLINS (OWNER)
(601) 469-9040
Entity
Organization
Contact information
Practice address
209 N FIR AVE, COLLINS, MS 39428-9998
(601) 469-9040
Mailing address
135 E THIRD ST, FOREST, MS 39074-4101
(601) 469-9040
(601) 469-9040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0888/11.1
MS
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up