Great South Medical Inc.

LBN: Great South Medical Inc.
Great South Medical Inc. is an health care organization with primary practice located at 382 Carriage House Dr Ste A , Jackson TN 38305-2299. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Great South Medical Inc. can be contacted via phone (731) 664-8716, or through Louviere, Jay F via phone (731) 664-8874.

Contact Information

Primary practice address
382 Carriage House Dr Ste A Jackson TN 38305-2299
Phone: (731) 664-8716
Fax: (731) 664-8932
Website:
Map and Directions
Authorized official contact:
Name: Louviere, Jay F
Phone: (731) 664-8874

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0000000507 Tennessee

Profile Details

NPI number 1871557397
LBN Legal business name Great South Medical Inc.
DBA Doing business as
Authorized official Louviere, Jay F
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Jun 5th, 2012 - about 13 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 1871557397 NPPES
Other 0183977 BCBS TN
Other B1203 BCBS TN

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