Central Mississippi Medical Equipment, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

06336 / 11.1 Issued in MS

Legal business name

CENTRAL MISSISSIPPI MEDICAL EQUIPMENT, LLC

Practice address

5538 N. State Street
Suite 104
Jackson, MS 39206

Phone

(601) 982-4085

NPI assigned

Oct 3, 2006

Last updated

Oct 19, 2009By 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

Mary Brookins

Title

President

Phone

(601) 982-4085

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1932293768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 N. STATE STREET",
            "address_2": "SUITE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5538 N. STATE STREET",
            "address_2": "SUITE 104",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-982-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MISSISSIPPI MEDICAL EQUIPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "BROOKINS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-982-4085"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "06336 / 11.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04109551",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Mississippi Health Services, Inc
• Central Mississippi Health Services, Inc.
• Central Mississippi Health Services, Inc.
• Central Mississippi Improvement Association (Jackson Hinds Comprehensive Health Center)
• Central Mississippi Medical Center
• Central Mississippi Oral & Maxiollofacial
• Central Mississippi Sitter Service Inc (Anointed Care Center)
• Central Ms Civic Improvement Association, Inc
• Central Ms Civic Improvement Association, Inc (JHCHC - Johnson Elementary School)
• Central Ms Counseling Center, Inc

• Durable Medical Equipment & Medical Supplies in Jackson, MS
• Providers in Jackson, 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 Oct 19, 2009; 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.