Provider Demographics
NPI:1285919688
Name:MEDCOMPRESSION, INC
Entity type:Organization
Organization Name:MEDCOMPRESSION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETHE
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-297-0040
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MS
Mailing Address - Zip Code:38673-0103
Mailing Address - Country:US
Mailing Address - Phone:228-297-0040
Mailing Address - Fax:888-315-0796
Practice Address - Street 1:133B COURTHOUSE SQ
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MS
Practice Address - Zip Code:38655-4061
Practice Address - Country:US
Practice Address - Phone:228-297-0040
Practice Address - Fax:888-315-0796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSNOT APPLICABLE332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies