Provider Demographics
NPI:1922026616
Name:CAREMED,INC.
Entity Type:Organization
Organization Name:CAREMED,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:DRZYCIMSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-898-3774
Mailing Address - Street 1:670 HIGHWAY 51 SUITE F
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157
Mailing Address - Country:US
Mailing Address - Phone:601-898-3774
Mailing Address - Fax:601-898-3770
Practice Address - Street 1:670 HIGHWAY 51 SUITE F
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157
Practice Address - Country:US
Practice Address - Phone:601-898-3774
Practice Address - Fax:601-898-3770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS068883/11.1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00430082Medicaid
MS05338823Medicaid
MS5666000001Medicare NSC