Lifeline Diabetic
LBN: Lifeline Diabetic
Lifeline Diabetic is an health care organization with primary practice located at 201 3Rd Ave N Suite 1, Amory MS 38821-3413. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Lifeline Diabetic can be contacted via phone (662) 597-9200, or through Sanderson, Merri via phone (662) 597-9200.
Contact Information
Primary practice address
201 3Rd Ave N Suite 1
Amory MS 38821-3413
Phone: (662) 597-9200
Fax: (888) 918-2226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 08376/02.0 | Mississippi |
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1518086339 |
|---|---|
| LBN Legal business name | Lifeline Diabetic |
| DBA Doing business as | |
| Authorized official | Sanderson, Merri |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Aug 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518086339 | NPPES |
| Other | 2587977 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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