Organization Name: | SOUTHERN MEDICAL |
NPI Number: | 1588020804 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA LANDRY (CLINICAL COORDINATOR) |
Mailing Address: | 19184 Dr John Lambert Dr Ste. 104 Hammond |
State: | LA US |
Postal Code: | 704030935 |
Phone Number: | 9855427150 |
Fax Number: | 9855427155 |
NPI Enumeration Date: | 01/04/2016 |
NPI Last Update Date: | 01/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |