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Contact Information

MEDLINE 1 LLC
4440 LIVERPOOL LN
SOUTHAVEN, MS38671-7512
 Phone: 901-268-8899
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transportation Broker

347E00000X
Indicates primary specialty

NPI Profile & details for MEDLINE 1 LLC

NPI Number 1306324686
LBN Legal business name MEDLINE 1 LLC
Authorized official JUANITA LUNDY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2018
Last updated 07/30/2018 - About 8 years ago
Identifiers
MS Medicaid 837X0
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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