Tri-State Home Medical

LBN: Tri-State Home Medical
Tri-State Home Medical is an health care organization with primary practice located at 801 N Wiley Ave , Donalsonville GA 39845. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Tri-State Home Medical can be contacted via phone (229) 524-8911, or through Mills, Jack H via phone (229) 524-8911.

Contact Information

Primary practice address
801 N Wiley Ave Donalsonville GA 39845
Phone: (229) 524-8911
Fax: (229) 524-2300
Website:
Map and Directions
Authorized official contact:
Name: Mills, Jack H RPH9642 REGISTERED P
Phone: (229) 524-8911

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1225133093
LBN Legal business name Tri-State Home Medical
DBA Doing business as
Authorized official Mills, Jack H RPH9642 REGISTERED P
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 13th, 2011 - about 15 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 1225133093 NPPES
Georgia MEDICAID 000922237AB

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