MC Medical, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

02767/11.1 Issued in MS

Legal business name

MC MEDICAL, INC.

Practice address

1223 Highway 98 Byp
Columbia, MS 39429-3732

Phone

(601) 736-7994

Fax

(601) 731-7691

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Marilyn Mullins

Title

President/Owner

Phone

(601) 587-0173

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1104821719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1189",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396541189",
            "telephone_number": "601-587-0173",
            "fax_number": "601-587-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 HIGHWAY 98 BYP",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293732",
            "telephone_number": "601-736-7994",
            "fax_number": "601-731-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "601-587-0173"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "02767/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440198",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David J Martinez
• Beverly Parham Masino, M.S., CCC-SLP
• Raeisha Mattix, RN
• Matthew Mattox, P.T.
• Kelsey Landgraf May, PHARMD
• Daryn Michael McArthur, LPTA
• Bryan F McCraw, M.D.
• Joshua McDade, CAT
• Jessica Amanda McKenzie, FNP
• Lala McKenzie, IDD WAIVER SERVICES

• Oxygen Equipment & Supplies (DME) in Columbia, MS
• Providers in Columbia, MS by specialty
• Oxygen Equipment & Supplies (DME) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.