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NPI Code Detail

MEDICARE: AVRITT MEDICAL EQUIPMENT, INC.

MEDICARE: AVRITT MEDICAL EQUIPMENT, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies05200/11.1MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417953969
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVRITT MEDICAL EQUIPMENT, INC.
Provider Business Mailing Address
First Line : 4020 HIGHWAY 8
Second Line :
City : CLEVELAND
State : MS
Zip : 38732-8551
Country : US
Telephone Number : 662-843-7007
Fax Number : 662-843-7071
Provider Business Practice Location Address
First Line : 4020 HIGHWAY 8
Second Line :
City : CLEVELAND
State : MS
Zip : 38732-8551
Country : US
Telephone Number : 662-843-7007
Fax Number : 662-843-7071
Authorized Official
Title or Position : PRESIDENT
Name : CHARLES R AVRITT
Credential :
Telephone Number : 662-843-7007
Provider Enumeration Date : 06/21/2005
Last Update Date : 07/16/2012

Similar Medicare Providers

1538385018 — AVRITT MEDICA EQUIPMENT, INC.
Practice Location Address:
4020 HIGHWAY 8
CLEVELAND, MS
38732-8551
Practice Phone: 662-843-7007
Practice Fax: 662-843-7071
1770757676 — CELESTE BROWN
Practice Location Address:
4036 HIGHWAY 8
CLEVELAND, MS
38732-8551
Practice Phone: 662-843-4014
Practice Fax:
1578826830 — MRS. LISA SHERRILL JENKINS SLP
Practice Location Address:
4036 HIGHWAY 8
CLEVELAND, MS
38732-8551
Practice Phone: 662-843-4014
Practice Fax:
1770846032 — MS. CHRISTY G JONES SLP
Practice Location Address:
4036 HIGHWAY 8
CLEVELAND, MS
38732-8551
Practice Phone: 662-843-4014
Practice Fax:
1447506704 — MRS. SHANNON DIXON TAYLOR
Practice Location Address:
4036 HIGHWAY 8
CLEVELAND, MS
38732-8551
Practice Phone: 662-843-4014
Practice Fax:
1508317603 — DATY H COOKE
Practice Location Address:
4036 HIGHWAY 8
CLEVELAND, MS
38732-8551
Practice Phone: 662-843-4014
Practice Fax: 662-843-5401

Directions to “AVRITT MEDICAL EQUIPMENT, INC. ” Practice Location

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