MED SOUTH MEDICAL INC (NPI# 1194837229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194837229 |
| Entity Type | Organization |
| Organization Name | MED SOUTH MEDICAL INC |
| Other Organization Name | FAMILY CHOICE NUTRITION |
| Practice Address |
6415 Witt Ln Ste B North Little Rock AR 72118-2475 |
| Practice Telephone | 5017539393 |
| Practice Fax Number | 5017539396 |
| Mailing Telephone | 5017539393 |
| Mailing Fax Number | 5017539396 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | MS. BILLIE GRAHAM (PRESIDENT) |
| Authorized Official Telephone | 5017539393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
31541360001 | AR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 163802716 | 05 |
| Other Name | Type Code |
|---|---|
| Family Choice Nutrition | Doing Business As Name - Organization |
| Street Address |
6415 WITT LN STE B |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72118-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053686964 | Advanced Pathology Solutions, LLC | Pathology | 4850 Northshore Lane, North Little Rock, AR 72118 | 2012-03-12 |
| 1174818371 | Sharee L. Young | Counselor | 3000 West Scenic Drive, North Little Rock, AR 72118 | 2011-06-15 |
| 1952474454 | Michael Dan Grounds | Dentist | 4720 Camp Robinson Road, Suite B, North Little Rock, AR 72118 | 2006-11-15 |
| 1831169762 | Jennifer Stratton Do | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2006-01-24 |
| 1871018515 | Ash Urgent Care, Pa | Clinic/Center | 5201 Northshore Drive, North Little Rock, AR 72118 | 2017-08-03 |
| 1154619187 | Megan Grace Lockyer | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2011-07-12 |
| 1154617843 | Theodore Chang | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2011-06-22 |
| 1578884383 | Sarah Winter Lindley | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2010-06-15 |
| 1003073628 | Amy L Collinsworth | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2008-05-21 |
| 1770621658 | Nancy Kang Davis | Pathology | 4850 Northshore Ln, North Little Rock, AR 72118 | 2007-02-02 |
| Find all providers in zip 72118 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
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| 1467892406 | Head To Toe | Durable Medical Equipment & Medical Supplies | 2195 Peyton St, Ward, AR 72176-8563 | 2013-07-03 |
| 1922326586 | Boone Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 803-a Highway 71 North, Mena, AR 71953 | 2010-05-06 |
| 1386831238 | Finnegans Inc. | Durable Medical Equipment & Medical Supplies | 6805 W 12th St Ste F, Little Rock, AR 72204-2465 | 2007-09-25 |
| 1023202801 | Absolute Nutrition LLC | Durable Medical Equipment & Medical Supplies | 1209 Commerce Dr Ste 101, Mountain Home, AR 72653-2601 | 2007-09-05 |
| 1912107848 | Homelink Home Health Care | Durable Medical Equipment & Medical Supplies | 309 Southridge Blvd., Suite F, Heber Springs, AR 72543-8877 | 2007-07-19 |
| 1134145964 | Advanced Home Iv Services | Durable Medical Equipment & Medical Supplies | 1235 Sturgis Rd Ste 7, Conway, AR 72034-9688 | 2006-07-14 |
| 1275573594 | Capstone Health Grp LLC | Durable Medical Equipment & Medical Supplies | 300 Olive St Ste 505, Texarkana, AR 71854 | 2006-06-07 |
| 1518913474 | Bird and Bear Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2101 Ondra Dr, Searcy, AR 72143 | 2006-05-25 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72118 |
Please comment or provide details below to improve the information on MED SOUTH MEDICAL INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.