Tri-State Medical Home Health

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

TRI-STATE MEDICAL HOME HEALTH

Practice address

612 Delaware Ave
Suite 18
McComb, MS 39648-4000

Phone

(601) 250-1996

Fax

(601) 250-1997

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Christine Krieger

Title

Secretary

Phone

(601) 250-1996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1336203819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 DELAWARE AVE",
            "address_2": "SUITE 18",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482827",
            "telephone_number": "601-250-1996",
            "fax_number": "601-250-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 DELAWARE AVE",
            "address_2": "SUITE 18",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396484000",
            "telephone_number": "601-250-1996",
            "fax_number": "601-250-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE MEDICAL HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "601-250-1996"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Suong Tram, PHARM.D
• Brook Travis
• Joshua Blake Travis, DNP
• Mary Jan Treadwell, LCSW
• Brandy Trebotich-Smith
• Victor Trinchera, PTA
• Emily Troxler, DPT
• Benda Truvillion
• Jenny Tucker
• Valerie J Turner, DMD

• Oxygen Equipment & Supplies (DME) in McComb, MS
• Providers in McComb, 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 Mar 11, 2008; 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.