Active NPI
Med-South, Inc.
- Durable Medical Equipment & Medical Supplies
- Jasper, AL
National Provider Identifier
1730174699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 185
- Legal business name
- MED-SOUTH, INC.
- Practice address
- 1811 Building Highway 78 East
Suite 101
Jasper, AL 35501 - Phone
- (205) 221-4066
- Fax
- (205) 221-0058
- NPI assigned
- Sep 16, 2005
- Organization subpart
- Yes
- Parent organization
- COMMUNITY HEALTH SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stewart H Pace
- Title
- Sr Vice President of Corporate Dev
- Phone
- (205) 414-7525
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 185 | AL | Primary |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 900145 | AL |
Addresses
Primary practice location
1811 Building Highway 78 East
Suite 101
Jasper, AL 35501
Mailing address
406 Medical Center Dr
Jasper, AL 35501-3400
Phone (205) 221-8200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008600600 | Medicaid | AL |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Fairhope, AL
- NPI 1225320773
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211241600000",
"number": "1730174699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 MEDICAL CENTER DR",
"city": "JASPER",
"state": "AL",
"postal_code": "355013400",
"telephone_number": "205-221-8200",
"fax_number": "205-221-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 BUILDING HIGHWAY 78 EAST",
"address_2": "SUITE 101",
"city": "JASPER",
"state": "AL",
"postal_code": "35501",
"telephone_number": "205-221-4066",
"fax_number": "205-221-0058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-SOUTH, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNITY HEALTH SERVICES",
"enumeration_date": "2005-09-16",
"last_updated": "2008-05-20",
"status": "A",
"authorized_official_last_name": "PACE",
"authorized_official_first_name": "STEWART",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "SR VICE PRESIDENT OF CORPORATE DEV",
"authorized_official_telephone_number": "205-414-7525",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "185",
"primary": true
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "AL",
"license": "900145",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008600600",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.