Med-Mart Home Care Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Water Valley, MS
NPI 1497928626 · NPPES record last updated Sep 8, 2011
Key facts
- NPI
- 1497928626
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 1132590001 (MS)
- Legal business name
- MED-MART HOME CARE INC
- Practice address
- 211 N Main St
Water Valley, MS 38965-2504 - Phone
- (662) 473-4426
- Fax
- (662) 473-4427
- NPI assigned
- Apr 9, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- MED-MART HOME CARE INC
Authorized official
- Name
- Mr. Thomas Ashley Butler
- Title
- Vice President
- Phone
- (662) 489-9330
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Med-Mart Home Care Inc
Locations
211 N Main St
Water Valley, MS 38965
Phone (662) 473-4426
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1132590001 | MS | Yes |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 1132590001 | MS |
Addresses
Primary practice location
211 N Main St
Water Valley, MS 38965-2504
Mailing address
211 N Main St
Water Valley, MS 38965-2504
Phone (662) 473-4426
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440402 | Medicaid | MS |
Other providers in Water Valley, MS
- Joeli Link
- Lee Brian Lott
- Brenda McCullough
- Carrie Aden McDaniel
- Jennifer S McGavock
- Mississipp State Department of Health
- Musterion Medical, LLC
- North Mississippi Foot Specialists PC
- George Robert Orndorff Jr.
- Demetrica Stokes Pegues
All providers in Water Valley, MS · Durable Medical Equipment & Medical Supplies in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.