Long Beach Pass Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LONG BEACH PASS MEDICAL

Practice address

4476 Pierce Rd
Diberville, MS 39540-3404

Phone

(228) 217-4321

Fax

(228) 396-1115

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Melissa Milner

Title

Owner

Phone

(228) 217-4321

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1366629040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4476 PIERCE RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403404",
            "telephone_number": "228-217-4321",
            "fax_number": "228-396-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4476 PIERCE RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395403404",
            "telephone_number": "228-217-4321",
            "fax_number": "228-396-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH PASS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "MILNER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-217-4321"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuy Le
• Tina Le
• LHCG Xxvi LLC
• Lococo Health and Wellness Inc
• Nicholas Andrew Lococo, D.C.
• Catherine Ann Louiselle
• Magnolia Bloom Counseling, LLC
• Alyssa Fuller Martin, DPT
• Katelyn Elizabeth Martin, BCBA, LBA
• Maxem Health Urgent Care Diberville

• Durable Medical Equipment & Medical Supplies in Diberville, MS
• Providers in Diberville, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.