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Contact Information

MIDSTATE MEDICAL SERVICE
1507 MULBERRY ST
MONTGOMERY, AL36106-1519
 Phone: 334-263-6034
 Fax: 334-264-2436
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
Indicates primary specialty

NPI Profile & details for MIDSTATE MEDICAL SERVICE

NPI Number 1245276112
LBN Legal business name MIDSTATE MEDICAL SERVICE
Authorized official RICHARD CHERRY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/21/2006
Last updated 06/20/2018 - About 8 years ago
Identifiers
AL License # 0003497
AL Medicaid 000051822
TN Medicaid 4582366
AL Other 0007965237 AETNA PROVIDER NUMBER
AL Other U98718 AMERIHEALTH PROV. NUM.
AL Other 51051822MID BCBS PROVIDER NUMBER
AL Other 304307 COMBINED INS. CO. OF AMER
AL Other 304307 HEALTH INS. CORP. OF ALA.
AL Other V16192 VGM/HOMELINK PROV. NUM.
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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