Organization
MID-DELTA DURABLE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLARA T. REED RN (CEO)
(662) 247-1254
Entity
Organization
Contact information
Practice address
209 W JACKSON ST, BELZONI, MS 39038-3539
(662) 247-3660
(662) 247-3884
Mailing address
PO BOX 373, BELZONI, MS 39038-0373
(662) 247-1254
(662) 247-4924
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
04739/11.1
MS
332BC3200X
Customized Equipment (DME)
04739/11.1
MS
332BX2000X
Oxygen Equipment & Supplies (DME)
04739/11.1
MS
335E00000X
Prosthetic/Orthotic Supplier
04739/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440825
—
MS
Enumeration date
07/13/2006
Last updated
07/11/2023
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