Active NPI
Meridian Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Meridian, MS
National Provider Identifier
1316905599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MERIDIAN MEDICAL EQUIPMENT
- Practice address
- 500 17TH St
Meridian, MS 39301-3531 - Phone
- (601) 693-5312
- Fax
- (601) 693-5314
- NPI assigned
- May 3, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Carl Jr.
- Title
- Ceo/President
- Phone
- (251) 633-8090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | Primary |
Addresses
Primary practice location
500 17TH St
Meridian, MS 39301-3531
Mailing address
7856 Westside Park Dr
Suite C
Mobile, AL 36695-8541
Phone (261) 633-8090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04826811 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316905599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7856 WESTSIDE PARK DR",
"address_2": "SUITE C",
"city": "MOBILE",
"state": "AL",
"postal_code": "366958541",
"telephone_number": "261-633-8090",
"fax_number": "251-633-6941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 17TH ST",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393013531",
"telephone_number": "601-693-5312",
"fax_number": "601-693-5314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIDIAN MEDICAL EQUIPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CARL",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "251-633-8090",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04826811",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- 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.