Provider Demographics
NPI:1750598926
Name:COMPLETE PATIENT SERVICES
Entity type:Organization
Organization Name:COMPLETE PATIENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:B
Authorized Official - Last Name:TOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-460-0300
Mailing Address - Street 1:1025 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39530-3775
Mailing Address - Country:US
Mailing Address - Phone:251-460-0300
Mailing Address - Fax:251-460-0304
Practice Address - Street 1:4333 BOULEVARD PARK N
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3422
Practice Address - Country:US
Practice Address - Phone:251-460-0300
Practice Address - Fax:251-460-0304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1202910004Medicare NSC