Healthcare Provider Details

I. General information

NPI: 1598382368
Provider Name (Legal Business Name): ANCHOR MEDICAL EQUIPMENT AND SUPPLIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2020
Last Update Date: 01/31/2022
Certification Date: 01/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14060 S WINTZELL AVE STE A
BAYOU LA BATRE AL
36509-2466
US

IV. Provider business mailing address

3224 DIJON AVE
OCEAN SPRINGS MS
39564-8520
US

V. Phone/Fax

Practice location:
  • Phone: 888-967-3221
  • Fax: 888-772-9419
Mailing address:
  • Phone: 888-967-3211
  • Fax: 800-651-3566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: TAMMY NERON
Title or Position: ADMINISTRATOR
Credential:
Phone: 228-363-0500