Provider Demographics
NPI:1659754992
Name:ANS MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:ANS MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-439-0711
Mailing Address - Street 1:9141 INTERLINE AVE STE 2-A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1956
Mailing Address - Country:US
Mailing Address - Phone:225-926-3646
Mailing Address - Fax:225-354-3009
Practice Address - Street 1:9141 INTERLINE AVE STE 2-A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1956
Practice Address - Country:US
Practice Address - Phone:225-926-3646
Practice Address - Fax:225-354-3009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-06
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies