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Contact Information

KCC, INC.
1501 23RD AVE
MERIDIAN, MS39301-4586
 Phone: 601-482-4003
 Fax: 601-482-3948
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Infusion Therapy Pharmacy

3336H0001X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KCC, INC.

NPI # 1780619528
LBN Legal business name KCC, INC.
Authorized official BRAD GILCHRIST - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2006
Last updated 11/24/2025 - About 6 months ago
Identifiers
AL License # 111985
AL Medicaid 000057068
AL Medicaid 100002498
MS Medicaid 0000404202
MS Medicaid 00330015
Other 01-25941 NCPDP
Other 25-86014 NCPDP
Other 104747300 OWCP
AL Other 510-43792 BCBS
AL Other 515-02164 BCBS - DME
MS Other 870001313 MEDICARE LOCAL PART B
MS Other P00105652 MEDICARE RR
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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