Southern Express Medical Supply, Inc

LBN: Southern Express Medical Supply, Inc
Southern Express Medical Supply, Inc is an health care organization with primary practice located at 125 Church St Suite B, Georgiana AL 36033. The organization recently has only one registered license in Suppliers / Parenteral & Enteral Nutrition, which is considered as the primary health care specialty. Southern Express Medical Supply, Inc can be contacted via phone (334) 376-0003, or through Bruce, Michael via phone (334) 376-0003.

Contact Information

Primary practice address
125 Church St Suite B Georgiana AL 36033
Phone: (334) 376-0003
Fax: (334) 376-5777
Website:
Map and Directions
Authorized official contact:
Name: Bruce, Michael
Phone: (334) 376-0003

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Parenteral & Enteral Nutrition 332BP3500X

Profile Details

NPI number 1265431928
LBN Legal business name Southern Express Medical Supply, Inc
DBA Doing business as
Authorized official Bruce, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2005
Last updated Oct 12th, 2015 - about 10 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 1265431928 NPPES
Alabama Other 51077252 BCBS PROVIDER NUMBER
Alabama Other 305157 BCBS PROVIDER NUMBER
Alabama MEDICAID 000077252 BCBS PROVIDER NUMBER

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