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Organization

MEDISTAT, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID B SCOTT MBA, ATP (PRESIDENT & CEO)
(731) 660-0060
Entity
Organization

Contact information

Practice address
935 OLD HUMBOLDT RD, SUITE A, JACKSON, TN 38305-9625
(731) 660-0060
(731) 660-0622
Mailing address
PO BOX 10728, JACKSON, TN 38308-0112
(731) 660-0060
(731) 660-0622

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0000000806
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104735
BLUE CROSS BLUE SHIELD
TN
05
3558573
TN
Enumeration date
02/07/2007
Last updated
09/23/2013
About Stedi
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  • EDI platform