Donalsonville Tri-State Home Medical Llc

LBN: Donalsonville Tri-State Home Medical Llc
Donalsonville Tri-State Home Medical Llc is an health care organization with primary practice located at 801 N Wiley Ave , Donalsonville GA 39845-1121. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Donalsonville Tri-State Home Medical Llc can be contacted via phone (229) 524-8911, or through Mills, Jack H via phone (229) 524-8911.

Contact Information

Primary practice address
801 N Wiley Ave Donalsonville GA 39845-1121
Phone: (229) 524-8911
Fax: (229) 524-2300
Website:
Map and Directions
Authorized official contact:
Name: Mills, Jack H RPH9642 REGISTERED P
Phone: (229) 524-8911

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1255600698
LBN Legal business name Donalsonville Tri-State Home Medical Llc
DBA Doing business as
Authorized official Mills, Jack H RPH9642 REGISTERED P
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2011
Last updated Feb 21st, 2013 - about 11 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 1255600698 NPPES
Georgia MEDICAID 000922237AB

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