North Beach Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTH BEACH MEDICAL LLC

Practice address

523 Ulman Ave
Bay St Louis, MS 39520-3524

Phone

(228) 466-6373

Fax

(228) 466-6372

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jack J Hyman

Title

Representative

Phone

(228) 466-6373

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1457566192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 2867",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395212867",
            "telephone_number": "228-466-6373",
            "fax_number": "228-466-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ULMAN AVE",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395203524",
            "telephone_number": "228-466-6373",
            "fax_number": "228-466-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BEACH MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REPRESENTATIVE",
        "authorized_official_telephone_number": "228-466-6373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Bay St Louis, MS
• Providers in Bay St Louis, 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 Aug 8, 2011; 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.