Medistat, Inc

LBN: Medistat, Inc
Medistat, Inc is an health care organization with primary practice located at 935 Old Humboldt Rd Suite A, Jackson TN 38305-9625. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Medistat, Inc can be contacted via phone (731) 660-0060, or through Scott, David B via phone (731) 660-0060.

Contact Information

Primary practice address
935 Old Humboldt Rd Suite A Jackson TN 38305-9625
Phone: (731) 660-0060
Fax: (731) 660-0622
Website:
Map and Directions
Authorized official contact:
Name: Scott, David B MBA, ATP
Phone: (731) 660-0060

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0000000806 Tennessee

Profile Details

NPI number 1932249075
LBN Legal business name Medistat, Inc
DBA Doing business as
Authorized official Scott, David B MBA, ATP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
Last updated Sep 23rd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932249075 NPPES
Tennessee Other 104735 BLUE CROSS BLUE SHIELD
Tennessee MEDICAID 3558573 BLUE CROSS BLUE SHIELD

Popular Providers