Provider Demographics
NPI:1760462030
Name:MEDICAL SERVICES CO., INC.
Entity Type:Organization
Organization Name:MEDICAL SERVICES CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, PROVIDER RELATIONS/CONTRACT ADM
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:MCMAINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-848-1989
Mailing Address - Street 1:11764 MARCO BEACH DR
Mailing Address - Street 2:STE 1
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32224-5660
Mailing Address - Country:US
Mailing Address - Phone:800-848-1989
Mailing Address - Fax:904-224-2309
Practice Address - Street 1:11764 MARCO BEACH DR
Practice Address - Street 2:STE 1
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32224-5660
Practice Address - Country:US
Practice Address - Phone:800-848-1989
Practice Address - Fax:904-224-2309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
432G3OtherCCR