Mid-South Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MID-SOUTH MEDICAL SUPPLY, INC

Practice address

1021 City Ave N
Ripley, MS 38663-1414

Phone

(662) 837-4824

Fax

(662) 837-0035

NPI assigned

Oct 2, 2006

Organization subpart

No

Name

Ms. Debbie Ann Clemmer

Title

Office Manager

Phone

(662) 837-4824

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225121007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631414",
            "telephone_number": "662-837-4824",
            "fax_number": "662-837-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 CITY AVE N",
            "city": "RIPLEY",
            "state": "MS",
            "postal_code": "386631414",
            "telephone_number": "662-837-4824",
            "fax_number": "662-837-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLEMMER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-837-4824",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440205",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.