Medline 1 Llc

LBN: Medline 1 Llc
Medline 1 Llc is an health care organization with primary practice located at 4440 Liverpool Ln , Southaven MS 38671-7512. The organization recently has only one registered license in Transportation Services / Transportation Broker, which is considered as the primary health care specialty. Medline 1 Llc can be contacted via phone (901) 268-8899, or through Lundy, Juanita Marie via phone (901) 268-8899.

Contact Information

Primary practice address
4440 Liverpool Ln Southaven MS 38671-7512
Phone: (901) 268-8899
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lundy, Juanita Marie
Phone: (901) 268-8899

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Transportation Broker 347E00000X Mississippi

Profile Details

NPI number 1306324686
LBN Legal business name Medline 1 Llc
DBA Doing business as Medline 1 Llc
Authorized official Lundy, Juanita Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2018
Last updated Jul 30th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306324686 NPPES
Mississippi MEDICAID 837X0

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