Provider Demographics
NPI:1710323696
Name:PATIENT SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:PATIENT SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:AO
Authorized Official - Phone:727-530-7700
Mailing Address - Street 1:PO BOX 5992
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75505-5992
Mailing Address - Country:US
Mailing Address - Phone:903-838-4881
Mailing Address - Fax:903-832-7264
Practice Address - Street 1:5100 POPLAR AVE
Practice Address - Street 2:SUITE 2883
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38137
Practice Address - Country:US
Practice Address - Phone:800-844-7774
Practice Address - Fax:800-497-9644
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PATIENT SUPPORT SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-05-17
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies