Provider Demographics
NPI:1588647929
Name:MEDICAL SERVICES OF AMERICA INC
Entity Type:Organization
Organization Name:MEDICAL SERVICES OF AMERICA INC
Other - Org Name:MEDI HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:JEFFCOAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-957-0500
Mailing Address - Street 1:PO BOX 1928
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29071-1928
Mailing Address - Country:US
Mailing Address - Phone:803-957-0500
Mailing Address - Fax:888-342-6190
Practice Address - Street 1:1001 PIKE ST
Practice Address - Street 2:STE 3
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-3516
Practice Address - Country:US
Practice Address - Phone:740-374-9974
Practice Address - Fax:740-374-8992
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0031212004Medicaid
OH2858180Medicaid
OH2858180Medicaid