Southern Medical

LBN: Michael R Mullins Ii Inc
Southern Medical is an health care organization with primary practice located at 301 George Kostas Dr , Logan WV 25601-3493. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Oxygen Equipment & Supplies is the primary health care specialty. Michael R Mullins Ii Inc can be contacted via phone (304) 752-1450, or through Mullins, Michael Ray via phone (304) 752-1450.

Contact Information

Primary practice address
301 George Kostas Dr Logan WV 25601-3493
Phone: (304) 752-1450
Fax: (304) 752-4390
Website:
Map and Directions
Authorized official contact:
Name: Mullins, Michael Ray
Phone: (304) 752-1450

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1053444968
LBN Legal business name Michael R Mullins Ii Inc
DBA Doing business as Southern Medical
Authorized official Mullins, Michael Ray
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Feb 2nd, 2015 - about 11 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 1053444968 NPPES
West Virginia MEDICAID 0147367000

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