NPIMap

Organization Active NPI

Med-South, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Birmingham, AL
National Provider Identifier
1154307809
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
554 Issued in AL
Legal business name
MED-SOUTH, INC.
Practice address
1808 Gadsden Hwy Ste 100
Birmingham, AL 35235-3140
Phone
(205) 655-4109
Fax
(205) 655-2303
NPI assigned
Dec 15, 2005
Organization subpart
Yes
Parent organization
COMMUNITY HEALTH SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Mr. Stewart H Pace
Title
Sr Vice President of Corporate Devl
Phone
(205) 290-4255

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 554 AL Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X 900494 AL

Addresses

Primary practice location

1808 Gadsden Hwy Ste 100
Birmingham, AL 35235-3140

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
009973405MedicaidAL

National Provider Directory

National Provider Directory
Tax ID family
Med-South Inc-Fairhope13 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

1808 Gadsden Hwy
Ste 100
Birmingham, AL 35235
Phone (205) 655-4109

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1154307809",
    "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": "1808 GADSDEN HWY STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353140",
            "telephone_number": "205-655-4109",
            "fax_number": "205-655-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-SOUTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY HEALTH SYSTEMS",
        "enumeration_date": "2005-12-15",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SR VICE PRESIDENT OF CORPORATE DEVL",
        "authorized_official_telephone_number": "205-290-4255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "554",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "AL",
            "license": "900494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009973405",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.