Provider Demographics
NPI:1629281241
Name:MEDICAL DELIVERIES, INC.
Entity Type:Organization
Organization Name:MEDICAL DELIVERIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUBY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZEUTZIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-865-5556
Mailing Address - Street 1:3508 YOUREE DR
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2120
Mailing Address - Country:US
Mailing Address - Phone:318-865-8665
Mailing Address - Fax:318-869-0664
Practice Address - Street 1:517 LIBERTY RD
Practice Address - Street 2:BLDG 1 STE C
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8028
Practice Address - Country:US
Practice Address - Phone:601-933-0993
Practice Address - Fax:601-933-0995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS06520 11.1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00440828Medicaid
MS00440828Medicaid
1178490003Medicare NSC