Organization Active NPI

Med-South, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jasper, AL
National Provider Identifier
1730174699
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
185 Issued in AL
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 SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
008600600MedicaidAL

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": "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.

Verify at the official NPI Registry.