SOUTHERN EXPRESS MEDICAL SUPPLY, INC; NPI #1265431928

Contact Information

SOUTHERN EXPRESS MEDICAL SUPPLY, INC

125 CHURCH ST
SUITE B
GEORGIANA, AL 36033

Phone: 334-376-0003
Fax: 334-376-5777
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Parenteral & Enteral Nutrition	332BP3500X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for SOUTHERN EXPRESS MEDICAL SUPPLY, INC

NPI # 1265431928

LBN Legal business name SOUTHERN EXPRESS MEDICAL SUPPLY, INC

Authorized official MICHAEL BRUCE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/15/2005

Last updated 10/12/2015 - About 11 years ago

Identifiers

AL	Medicaid	000077252
AL	Other	51077252	BCBS PROVIDER NUMBER
AL	Other	305157	HEALTH INS CORP OF AL

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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