Provider Demographics
NPI:1679654107
Name:ASSOCIATED NURSING, INC
Entity Type:Organization
Organization Name:ASSOCIATED NURSING, INC
Other - Org Name:ASSOCIATED MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHORT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-563-8811
Mailing Address - Street 1:PO BOX 1607
Mailing Address - Street 2:19976 HIGHWAY 6 EAST
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-4107
Mailing Address - Country:US
Mailing Address - Phone:662-563-8811
Mailing Address - Fax:662-563-1563
Practice Address - Street 1:19976 HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-4107
Practice Address - Country:US
Practice Address - Phone:662-563-8811
Practice Address - Fax:662-563-1563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS02378/10.0332B00000X
MS03809/11.1332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR124821716Medicaid
MS00440106Medicaid
LA1968811Medicaid
AR124821716Medicaid