Provider Demographics
NPI:1275389819
Name:BGS LLC
Entity Type:Organization
Organization Name:BGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENGINEER
Authorized Official - Prefix:MR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:CARLTON
Authorized Official - Last Name:SLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-906-2409
Mailing Address - Street 1:3670 FLOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-8006
Mailing Address - Country:US
Mailing Address - Phone:601-906-2409
Mailing Address - Fax:
Practice Address - Street 1:3670 FLOWOOD DR
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-8006
Practice Address - Country:US
Practice Address - Phone:601-906-2409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-25
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies