SARTIN'S VITAL CARE INC (NPI# 1609889807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609889807 |
Entity Type | Organization |
Organization Name | SARTIN'S VITAL CARE INC |
Other Organization Name | SARTIN'S VITAL CARE |
Practice Address |
4300 15th St Suite A Gulfport MS 39501-2524 |
Mailing Address |
Po Box 5047 Meridian MS 39302-5047 |
Practice Telephone | 2288647056 |
Enumeration Date | 2006-08-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | C SARTIN (OWNER) |
Authorized Official Telephone | 2288647056 |
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 |
01681/01.1 | MS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00034748 | 05 | |
MS | TRIGON BCBS | 606520 | 01 |
AL | BCBS | 73012424 | 01 |
MS | 00040011 | 05 | |
LA | BCBS HIT | 53025 | 01 |
Other Name | Type Code |
---|---|
SARTIN'S VITAL CARE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316950512 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1225041429 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1134132335 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1518970714 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1598778797 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1407869605 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
Street Address |
4300 15TH ST SUITE A |
City | GULFPORT |
State | MS |
Zip Code | 39501-2524 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285663799 | Michael A Seicshnaydre | Specialist | 4300 15th St, Gulfport, MS 39501-2524 | 2006-06-30 |
1588066286 | Aimee Seicshnaydre | Physical Therapist | 4300 15th St, Suite B, Gulfport, MS 39501-2524 | 2014-09-24 |
1750494670 | Sartin's Discount Drugs, Inc | Durable Medical Equipment & Medical Supplies | 4300 15th St, Suite # 1, Gulfport, MS 39501-2524 | 2006-08-16 |
1316950512 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1225041429 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1134132335 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1790798999 | Sartin's Vital Care, Inc. | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1518970714 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1598778797 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
1407869605 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
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1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
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Taxonomy Code | 332BP3500X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
Specialization | Parenteral & Enteral Nutrition |
Definition to come... |
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1831276237 | Direct Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 105 Spann Dr, Suite D, Brandon, MS 39047-8752 | 2006-11-01 |
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1518976380 | M-d Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 1018 N Flowood Dr, Flowood, MS 39232-9532 | 2006-08-07 |
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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.