Provider Demographics
NPI:1417913211
Name:MCNAMED INC
Entity Type:Organization
Organization Name:MCNAMED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:601-933-0550
Mailing Address - Street 1:4290 LAKELAND DR
Mailing Address - Street 2:STE D
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232
Mailing Address - Country:US
Mailing Address - Phone:601-932-8880
Mailing Address - Fax:601-932-6215
Practice Address - Street 1:4290 LAKELAND DR
Practice Address - Street 2:STE D
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232
Practice Address - Country:US
Practice Address - Phone:601-932-8880
Practice Address - Fax:601-932-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440485Medicaid
1200880001Medicare ID - Type Unspecified