One Source Inc.

LBN: One Source Inc.
One Source Inc. is an health care organization with primary practice located at 3004 Bienville Blvd Suite 1, Ocean Springs MS 39564-4370. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty. One Source Inc. can be contacted via phone (228) 875-3828, or through Wade, William Keith via phone (228) 875-3828.

Contact Information

Primary practice address
3004 Bienville Blvd Suite 1 Ocean Springs MS 39564-4370
Phone: (228) 875-3828
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wade, William Keith
Phone: (228) 875-3828

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X Mississippi
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1073511812
LBN Legal business name One Source Inc.
DBA Doing business as
Authorized official Wade, William Keith
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Aug 17th, 2020 - about 4 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 1073511812 NPPES
Mississippi MEDICAID 0440404

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