Provider Demographics
NPI:1871927194
Name:SUNBELT MEDICAL SOLUTIONS
Entity type:Organization
Organization Name:SUNBELT MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-284-2269
Mailing Address - Street 1:450 E PASS RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-3212
Mailing Address - Country:US
Mailing Address - Phone:228-284-2269
Mailing Address - Fax:228-284-2274
Practice Address - Street 1:450 E PASS RD
Practice Address - Street 2:SUITE 107
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39507-3212
Practice Address - Country:US
Practice Address - Phone:228-284-2269
Practice Address - Fax:228-284-2274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09307778Medicaid
MS6958550001Medicare NSC