NPIMap

Organization Active NPI

Med-South, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Evergreen, AL
National Provider Identifier
1073797668
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
080249 Issued in AL
Legal business name
MED-SOUTH, INC.
Practice address
208 W Front St
Evergreen, AL 36401-2815
Phone
(251) 578-2979
Fax
(251) 578-5316
NPI assigned
Dec 19, 2007
Last updated
Dec 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stewart Pace
Title
Sr Vice President of Corp. Dev.
Phone
(205) 414-7421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 080249 AL Primary

Addresses

Primary practice location

208 W Front St
Evergreen, AL 36401-2815

Mailing address

406 Medical Center Dr
Jasper, AL 35501-3400
Phone (205) 221-8200

National Provider Directory

National Provider Directory
Tax ID family
Medsouth Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

208 W Front St
Evergreen, AL 36401
Phone (251) 578-2979

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1073797668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MEDICAL CENTER DR",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355013400",
            "telephone_number": "205-221-8200",
            "fax_number": "205-221-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W FRONT ST",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364012815",
            "telephone_number": "251-578-2979",
            "fax_number": "251-578-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "STEWART",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OF CORP. DEV.",
        "authorized_official_telephone_number": "205-414-7421"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AL",
            "license": "080249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.