Mid State Artificial Limb Co, Inc

LBN: Mid State Artificial Limb Co, Inc
Mid State Artificial Limb Co, Inc is an health care organization with primary practice located at 4455 Medgar Evers Blvd , Jackson MS 39213-5202. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Mid State Artificial Limb Co, Inc can be contacted via phone (601) 981-2229, or through Luster, Troy via phone (601) 981-2229.

Contact Information

Primary practice address
4455 Medgar Evers Blvd Jackson MS 39213-5202
Phone: (601) 981-2229
Fax: (601) 362-2129
Website:
Map and Directions
Authorized official contact:
Name: Luster, Troy
Phone: (601) 981-2229

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1184718132
LBN Legal business name Mid State Artificial Limb Co, Inc
DBA Doing business as
Authorized official Luster, Troy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 9th, 2010 - about 16 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 1184718132 NPPES
Mississippi MEDICAID 00040105

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