Provider Demographics
NPI:1043489669
Name:NATIONAL MEDICAL SUPPLY SERVICE INC
Entity type:Organization
Organization Name:NATIONAL MEDICAL SUPPLY SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-973-5597
Mailing Address - Street 1:5612 N 27TH AVE
Mailing Address - Street 2:STE 6
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-2600
Mailing Address - Country:US
Mailing Address - Phone:602-923-0199
Mailing Address - Fax:
Practice Address - Street 1:5612 N 27TH AVE
Practice Address - Street 2:STE 6
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-2600
Practice Address - Country:US
Practice Address - Phone:602-923-0100
Practice Address - Fax:602-324-4476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies