Provider Demographics
NPI:1124543848
Name:MEDSCREENS, INC.
Entity type:Organization
Organization Name:MEDSCREENS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CE)
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-939-3030
Mailing Address - Street 1:PO BOX 320565
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-0565
Mailing Address - Country:US
Mailing Address - Phone:601-939-3030
Mailing Address - Fax:
Practice Address - Street 1:3825 HIGHWAY 80 E
Practice Address - Street 2:
Practice Address - City:PEARL
Practice Address - State:MS
Practice Address - Zip Code:39208-4232
Practice Address - Country:US
Practice Address - Phone:601-939-3030
Practice Address - Fax:601-939-3042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2017-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service