Healthcare Provider Details

I. General information

NPI: 1316905599
Provider Name (Legal Business Name): MERIDIAN MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 17TH ST
MERIDIAN MS
39301-3531
US

IV. Provider business mailing address

7856 WESTSIDE PARK DR SUITE C
MOBILE AL
36695-8541
US

V. Phone/Fax

Practice location:
  • Phone: 601-693-5312
  • Fax: 601-693-5314
Mailing address:
  • Phone: 261-633-8090
  • Fax: 251-633-6941

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: JERRY CARL JR.
Title or Position: CEO/PRESIDENT
Credential:
Phone: 251-633-8090