Organization Active NPI

Saad Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • D'Iberville, MS
National Provider Identifier
1649280165
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
03506/11.1 Issued in MS
Legal business name
SAAD MEDICAL EQUIPMENT, INC.
Practice address
10598 Diberville Blvd
Suite a
Diberville, MS 39540-2465
Phone
(228) 432-5622
Fax
(228) 432-0010
NPI assigned
Aug 8, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Mr. Henry B. Fulgham
Title
Vice President of Operations
Phone
(251) 343-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 03506/11.1 MS Primary

Addresses

Primary practice location

10598 Diberville Blvd
Suite a
Diberville, MS 39540-2465

Mailing address

10598 Diberville Blvd
Suite a
Diberville, MS 39540-2465
Phone (228) 432-5622

Other identifiers 2

IdentifierTypeStateIssuer
000012326OtherMSBLUE CROSS BLUE SHIELD
00040073MedicaidMS

Other names 1

  • Saad Healthcare Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1649280165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10598 DIBERVILLE BLVD",
            "address_2": "SUITE A",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402465",
            "telephone_number": "228-432-5622",
            "fax_number": "228-432-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10598 DIBERVILLE BLVD",
            "address_2": "SUITE A",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402465",
            "telephone_number": "228-432-5622",
            "fax_number": "228-432-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAAD MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "FULGHAM",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "251-343-9600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "03506/11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000012326",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00040073",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saad Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in D'Iberville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.