| Organization Name: | RED BALL MEDICAL SUPPLY, INC |
| NPI Number: | 1174509350 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDITH K STORER (PRESIDENT / OWNER) |
| Mailing Address: | 1020 N Market St Shreveport |
| State: | LA US |
| Postal Code: | 711076747 |
| Phone Number: | 3184248393 |
| Fax Number: | 3182226104 |
| NPI Enumeration Date: | 12/19/2005 |
| NPI Last Update Date: | 03/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 09-0007047 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |