Healthcare Provider Details
I. General information
NPI: 1710323696
Provider Name (Legal Business Name): PATIENT SUPPORT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2013
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5100 POPLAR AVE SUITE 2883
MEMPHIS TN
38137
US
IV. Provider business mailing address
PO BOX 5992
TEXARKANA TX
75505-5992
US
V. Phone/Fax
- Phone: 800-844-7774
- Fax: 800-497-9644
- Phone: 903-838-4881
- Fax: 903-832-7264
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GREGORY
MCCARTHY
Title or Position: CHIEF OPERATIONS OFFICER
Credential: AO
Phone: 727-530-7700