MEDICARE: TRU-CARE MEDICAL ACKERMAN

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	332B00000X	Durable Medical Equipment & Medical Supplies	06761111	MS
2	332BX2000X	Oxygen Equipment & Supplies (DME)	06761111	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	:	1841393956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRU-CARE MEDICAL ACKERMAN

Provider Business Mailing Address
First Line	:	PO BOX 251
Second Line	:
City	:	ACKERMAN
State	:	MS
Zip	:	39735-0000
Country	:	US
Telephone Number	:	662-285-2176
Fax Number	:	662-285-6904

Provider Business Practice Location Address
First Line	:	350 WEST CHERRY
Second Line	:
City	:	ACKERMAN
State	:	MS
Zip	:	39735-0000
Country	:	US
Telephone Number	:	662-285-2176
Fax Number	:	662-285-6904

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DAVID WRIGHT FIELDS
Credential	:	RRT
Telephone Number	:	662-258-2176

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	09/11/2025

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