Provider Demographics
NPI:1821195835
Name:MORRISON'S OSTOMY & MEDICAL EQUIPMENT CENTER, INC.
Entity Type:Organization
Organization Name:MORRISON'S OSTOMY & MEDICAL EQUIPMENT CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-615-8260
Mailing Address - Street 1:11903 COURSEY BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-4406
Mailing Address - Country:US
Mailing Address - Phone:225-615-8260
Mailing Address - Fax:225-615-8268
Practice Address - Street 1:11903 COURSEY BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-4406
Practice Address - Country:US
Practice Address - Phone:225-615-8260
Practice Address - Fax:225-615-8268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
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
LAC08456306OtherEDI SUBMITTER #
LA1304786Medicaid
LA1304786Medicaid