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Contact Information

TRISTATE MEDICAL SUPPLY, L.L.C.
2253 THIRD AVE STE 1
DOTHAN, AL36301
 Phone: 334-886-9111
 Fax: 334-323-7303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for TRISTATE MEDICAL SUPPLY, L.L.C.

NPI Number 1407908437
LBN Legal business name TRISTATE MEDICAL SUPPLY, L.L.C.
Authorized official DEBRA CASEY - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/18/2007
Last updated 03/26/2026 - About 2 months ago
Identifiers
AL License # 786
AL Medicaid 106600
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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