Provider Demographics
NPI:1326439738
Name:B&B MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:B&B MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BATEASTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:769-823-0325
Mailing Address - Street 1:1006 METROCENTER
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39209-7515
Mailing Address - Country:US
Mailing Address - Phone:769-823-0325
Mailing Address - Fax:
Practice Address - Street 1:1006 METROCENTER
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39209-7515
Practice Address - Country:US
Practice Address - Phone:769-823-0325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-08
Last Update Date:2015-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies