Provider Demographics
NPI:1134152648
Name:AMBULATORY EQUIPMENT SERVICES, INC
Entity type:Organization
Organization Name:AMBULATORY EQUIPMENT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCNULTY
Authorized Official - Suffix:III
Authorized Official - Credentials:CRT
Authorized Official - Phone:601-849-4112
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:MAGEE
Mailing Address - State:MS
Mailing Address - Zip Code:39111-0426
Mailing Address - Country:US
Mailing Address - Phone:601-849-4125
Mailing Address - Fax:601-849-7523
Practice Address - Street 1:6007 WASHINGTON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-2648
Practice Address - Country:US
Practice Address - Phone:228-872-8700
Practice Address - Fax:228-872-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS02319/1.1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0170080002Medicare ID - Type Unspecified