Active NPI
Medsouth Inc
- Oxygen Equipment & Supplies (DME)
- Enterprise, AL
National Provider Identifier
1740458702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 080865
- Legal business name
- MEDSOUTH INC
- Practice address
- 205 E Lee St
Enterprise, AL 36330-2626 - Phone
- (334) 308-1355
- Fax
- (334) 308-1358
- NPI assigned
- Feb 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa Wells
- Title
- Director of Compliance
- Phone
- (205) 387-6077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 080865 | AL | Primary |
Addresses
Primary practice location
205 E Lee St
Enterprise, AL 36330-2626
Mailing address
406 Medical Center Dr
Jasper, AL 35501-3400
Phone (205) 221-8200
Other names 1
- MedSouth Inc
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": "1202860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447632000000",
"number": "1740458702",
"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": "205 E LEE ST",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302626",
"telephone_number": "334-308-1355",
"fax_number": "334-308-1358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSOUTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-13",
"last_updated": "2015-11-16",
"status": "A",
"authorized_official_last_name": "WELLS",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
"authorized_official_telephone_number": "205-387-6077",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "AL",
"license": "080865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedSouth Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.