1932570454 NPI number — LHC MEDICAL SUPPLIES

Table of content: (NPI 1932570454)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932570454 NPI number — LHC MEDICAL SUPPLIES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LHC MEDICAL SUPPLIES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932570454
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 880
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JACKSON
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39205-0880
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
601-354-7866
Provider Business Mailing Address Fax Number:
601-354-6866

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5725 HIGHWAY 18 W
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39209-9604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-354-7866
Provider Business Practice Location Address Fax Number:
601-354-6866
Provider Enumeration Date:
10/09/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HARALSON
Authorized Official First Name:
DYSHANDRA
Authorized Official Middle Name:
N
Authorized Official Title or Position:
SPECIAL PROJECTS MANAGER
Authorized Official Telephone Number:
601-354-7866

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  1064195 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)