MIDSTATE MEDICAL SERVICE


Address: 1507 Mulberry St, Montgomery, AL 36106-1519
Phone: 3342636034

MIDSTATE MEDICAL SERVICE (NPI# 1245276112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245276112
Entity Type Organization
Organization Name MIDSTATE MEDICAL SERVICE
Practice Address 1507 Mulberry St
Montgomery
AL 36106-1519
Mailing Address Po Box 6070
Montgomery
AL 36106-0070
Practice Telephone 3342636034
Practice Fax Number 3342642436
Mailing Telephone 3342636034
Mailing Fax Number 3342642436
Enumeration Date 2006-06-21
Last Update Date 2018-06-20
Authorized Official Name MR. RICHARD CHERRY (PRESIDENT)
Authorized Official Telephone 3342636034
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BX2000X Durable Medical Equipment & Medical Supplies
Specialization: Oxygen Equipment & Supplies
0003497 AL Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
AL VGM/HOMELINK PROV. NUM. V16192 01
AL COMBINED INS. CO. OF AMER 304307 01
TN 4582366 05
AL AETNA PROVIDER NUMBER 0007965237 01
AL HEALTH INS. CORP. OF ALA. 304307 01
AL AMERIHEALTH PROV. NUM. U98718 01
AL BCBS PROVIDER NUMBER 51051822MID 01
AL 000051822 05

Office Location

Street Address 1507 MULBERRY ST
City MONTGOMERY
State AL
Zip Code 36106-1519

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235747205 Rural Urgent Care LLC Clinic/Center 3039 Vaughn Road, Montgomery, AL 36106 2020-07-16
1548733306 Bennett Family Dentistry, LLC Dentist 4270 Carmichael Road, Montgomery, AL 36106 2019-01-04
1588133854 Lori Leanne Fail Physical Therapist 1615 Windsor Hill Court, Montgomery, AL 36106 2018-11-16
1073020749 Charlene Richmond Harrell Chiropractor 2900 Zelda Rd., Suite A, Montgomery, AL 36106 2018-01-03
1780123109 Montgomery Accident and Injury Center, Inc Nurse Practitioner 2900 Zelda Rd, Ste B, Montgomery, AL 36106 2017-02-17
1467843573 Ernest Porterfield Non-emergency Medical Transport (VAN) 4183 Carmichael Road, Suite A, Montgomery, AL 36106 2015-02-11
1114334281 Daniel Gerald O'bryant Specialist/Technologist 1160 Navarro Avenue, Montgomery, AL 36106 2014-07-21
1801213764 Amanda Hodge Specialist/Technologist 4605 Cherry Tree Terrace, Montgomery, AL 36106 2014-03-27
1871861542 Walgreen Co Durable Medical Equipment & Medical Supplies 1758 Park Pl Ste 102, Montgomery, AL 36106 2011-12-08
1578862546 Helping Hands Preventitive Health Center Community/Behavioral Health 2015 Mulberry St, Montgomery, AL 36106 2011-03-16
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Taxonomy Information

Taxonomy Code 332BX2000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Oxygen Equipment & Supplies

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548551260 Montgomery Medical Supply Inc. Durable Medical Equipment & Medical Supplies 440 Saint Lukes Dr Ste A, Montgomery, AL 36117-7104 2011-04-28
1679649644 Cornerstone Medical Inc Durable Medical Equipment & Medical Supplies 896 Plantation Way, Montgomery, AL 36117-2252 2006-11-28
1053344556 Medical Necessities LLC Durable Medical Equipment & Medical Supplies 1305 Mulberry St, Montgomery, AL 36106-1132 2006-07-08
1447251426 Hogan Medical Equipment, Inc Durable Medical Equipment & Medical Supplies 500 Interstate Park Dr Ste 534, Montgomery, AL 36109-5434 2005-08-02
1780120006 Lakeside Sleep Center LLC Durable Medical Equipment & Medical Supplies 123 Blue Heron Dr, Ste 102, Montgomery, TX 77316-3192 2017-01-10
1760617211 Wellman Sleep Systems, LLC Durable Medical Equipment & Medical Supplies 123 Blue Heron Dr, Ste 102, Montgomery, TX 77316-3192 2009-05-27
1912107301 Sleep Inovations Durable Medical Equipment & Medical Supplies 19782 Highway 105 W, Suite 133a, Montgomery, TX 77356-3103 2007-07-23
1346325412 Medlogic Cpap Inc. Durable Medical Equipment & Medical Supplies 433 Saint Lukes Dr, Montgomery, AL 36117-7107 2006-10-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396353363 Health Now Jackson, LLC Durable Medical Equipment & Medical Supplies 3802 N College Ave Ste 107, Jackson, AL 36545-2046 2020-07-16
1578185963 At Home Medical Inc Durable Medical Equipment & Medical Supplies 108 N Randolph Ave, Eufaula, AL 36027-1631 2020-05-08
1013577519 Regional Health Services LLC Durable Medical Equipment & Medical Supplies 234 Oxmoor Cir Ste 208, Homewood, AL 35209-6439 2019-06-17
1144706136 Oxymed, LLC Durable Medical Equipment & Medical Supplies 333 Greeno Rd S Ste C, Fairhope, AL 36532-1931 2018-07-13
1548707847 Southern Patient Care, Inc. Durable Medical Equipment & Medical Supplies 839 Airport Dr Ste 102, Alex City, AL 35010-3451 2017-01-24
1932642386 Hair Designs & Restoration Center LLC Durable Medical Equipment & Medical Supplies 24375 Us Highway 80 W, Demopolis, AL 36732-5018 2016-12-01
1710342308 Southeastern Home Oxygen Service, Inc. Durable Medical Equipment & Medical Supplies 2310 Crawford Rd Ste 106, Phenix City, AL 36867-3612 2015-12-23
1861897324 Wave Medical Equipment Durable Medical Equipment & Medical Supplies 333 Greeno Rd S, Suite C, Fairhope, AL 36532-1930 2014-10-27
1831501493 Imed Equip LLC Durable Medical Equipment & Medical Supplies 1201 3rd Ave North, Birmingham, AL 35203 2014-05-29
1508207267 Aerocare Home Medical, Inc. Durable Medical Equipment & Medical Supplies 210 Bearden Rd, Pelham, AL 35124 2013-07-10
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Competitor

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City MONTGOMERY
Zip Code 36106

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Dataset Information

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.

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