Mississippi Orthopedic Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MISSISSIPPI ORTHOPEDIC SUPPLY, LLC

Practice address

408 Masonic Dr
Clinton, MS 39056-5336

Phone

(601) 473-2101

Fax

(601) 473-2204

NPI assigned

Jun 22, 2016

Last updated

Feb 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Delores Harris

Title

Owner

Phone

(601) 473-2101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1871944785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MASONIC DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565336",
            "telephone_number": "601-473-2101",
            "fax_number": "601-473-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MASONIC DR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565336",
            "telephone_number": "601-473-2101",
            "fax_number": "601-473-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI ORTHOPEDIC SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-473-2101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Clinton, MS
• Providers in Clinton, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.