Burnham'S Vital Care Llc

LBN: Burnham'S Vital Care Llc
Burnham'S Vital Care Llc is an health care organization with primary practice located at 4931 Main St # B , Moss Point MS 39563-2746. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Burnham'S Vital Care Llc can be contacted via phone (228) 474-4663, or through Sartin, Alvin Craig via phone (228) 474-4663.

Contact Information

Primary practice address
4931 Main St # B Moss Point MS 39563-2746
Fax: (228) 474-7660
Website:
Authorized official contact:
Name: Sartin, Alvin Craig

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 05113021 Mississippi
Suppliers / Oxygen Equipment & Supplies 332BX2000X 05113021 Mississippi
Suppliers / Pharmacy 333600000X 05113021 Mississippi
Suppliers / Community/Retail Pharmacy 3336C0003X 05113021 Mississippi
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 05113021 Mississippi
Suppliers / Mail Order Pharmacy 3336M0002X 05113021 Mississippi
Suppliers / Specialty Pharmacy 3336S0011X 05113021 Mississippi

Profile Details

NPI number 1174693105
LBN Legal business name Burnham'S Vital Care Llc
DBA Doing business as
Authorized official Sartin, Alvin Craig
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Dec 12th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174693105 NPPES
Mississippi Other 000030050 BCBS OF MS
Mississippi MEDICAID 02577580 BCBS OF MS
Mississippi MEDICAID 1268160 BCBS OF MS
Mississippi Other 2520840 BCBS OF MS
Mississippi Other 611333100 BCBS OF MS

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