Mercy Medical Supply, Llc

LBN: Mercy Medical Supply Llc
Mercy Medical Supply, Llc is an health care organization with primary practice located at 3584 Highway 138 Se , Stockbridge GA 30281. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Mercy Medical Supply Llc can be contacted via phone (770) 506-9944, or through Johnson, Jacqueline Kay via phone (770) 506-9944.

Contact Information

Primary practice address
3584 Highway 138 Se Stockbridge GA 30281
Fax: (770) 506-9921
Website:
Authorized official contact:
Name: Johnson, Jacqueline Kay

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1477702801
LBN Legal business name Mercy Medical Supply Llc
DBA Doing business as Mercy Medical Supply, Llc
Authorized official Johnson, Jacqueline Kay
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 10th, 2008
Last updated Aug 31st, 2018 - about 6 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 1477702801 NPPES
Georgia MEDICAID 076482217A

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