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ADVANTAGE MEDICAL AND PHARMACEUTICAL LLC NPI 1407021744


NPI Information

NPI: 1407021744
Provider Name: ADVANTAGE MEDICAL AND PHARMACEUTICAL, LLC

Doing Business As: PINE BELT MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
6375 U S HIGHWAY 98 STE 40
HATTIESBURG, MS
ZIP 39402
Phone: (601) 268-1422
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ADVANTAGE MEDICAL AND PHARMACEUTICAL, LLC is a durable medical equipment medical supplies in Hattiesburg, MS. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. ADVANTAGE MEDICAL AND PHARMACEUTICAL, LLC NPI is 1407021744. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Belt Medical Equipment.

The provider's business location address is:

6375 U S HIGHWAY 98 STE 40
HATTIESBURG, MS
ZIP 39402-411
Phone: (601) 268-1422
Fax: (601) 268-1424

The provider's authorized official is Brittany N. Roach .
The authorized official title is Managing Partner and has the following contact phone number (601) 268-1422.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 3/9/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BN1400XDurable Medical Equipment & Medical SuppliesNursing Facility SuppliesNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesNo
4332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101184021MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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