MEDICARE: MEDTECH, 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
1	332BX2000X	Oxygen Equipment & Supplies (DME)	05685/11.1	MS
2	333600000X	Pharmacy	05774/02.0	MS

Other Identifiers

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

General Provider Information

NPI Number	:	1295738912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDTECH, INC

Provider Business Mailing Address
First Line	:	207 N HARPER RD
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38834-5271
Country	:	US
Telephone Number	:	662-665-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 N HARPER RD
Second Line	:
City	:	CORINTH
State	:	MS
Zip	:	38834-5271
Country	:	US
Telephone Number	:	662-665-9800
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DONALD O. KING III
Credential	:
Telephone Number	:	662-665-9800

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	09/11/2025

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