Provider Demographics
NPI:1487711339
Name:B-TECH INC.
Entity type:Organization
Organization Name:B-TECH INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:EZEM
Authorized Official - Suffix:
Authorized Official - Credentials:RN,CM,CLNC
Authorized Official - Phone:601-927-9839
Mailing Address - Street 1:2990 HIGHWAY 49 S
Mailing Address - Street 2:SUITE O
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-9522
Mailing Address - Country:US
Mailing Address - Phone:601-845-2077
Mailing Address - Fax:601-845-2095
Practice Address - Street 1:2990 HIGHWAY 49 S
Practice Address - Street 2:SUITE O
Practice Address - City:FLORENCE
Practice Address - State:MS
Practice Address - Zip Code:39073-9522
Practice Address - Country:US
Practice Address - Phone:601-845-2077
Practice Address - Fax:601-845-2095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS05550543332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS5548260001Medicare NSC
MS05550543Medicare NSC