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Capitol Medical Supply, Inc

Organization Active NPI Durable Medical Equipment & Medical Supplies · Jackson, MS

NPI 1629140231 · NPPES record last updated Nov 8, 2007

Key facts

NPI
1629140231
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
02928111 (MS)
Legal business name
CAPITOL MEDICAL SUPPLY, INC
Practice address
2800 N State St
Jackson, MS 39216-4305
Phone
(601) 981-0120
NPI assigned
Nov 15, 2006
Organization subpart
No

Authorized official

Name
Ms. Janet K Sumrall
Title
Vice President
Phone
(601) 981-0120

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Capitol Medical Supply Inc (2 organizations share this tax ID)

Locations

2800 N State St
Jackson, MS 39216
Phone (601) 981-0120

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 02928111 MS Yes

Addresses

Primary practice location

2800 N State St
Jackson, MS 39216-4305

Mailing address

2800 N State St
Jackson, MS 39216-4305
Phone (601) 981-0120

Other identifiers

IdentifierTypeStateIssuer
00040033MedicaidMS

Other providers in Jackson, MS

All providers in Jackson, MS · Durable Medical Equipment & Medical Supplies in Mississippi

Sources for this page

Verify at the official NPI Registry.