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Matthew W Crain
Durable Medical Equipment & Medical Supplies in Southaven, Mississippi
NPI 1326105586

Matthew W Crain is a Durable Medical Equipment & Medical Supplies based in Southaven, MS. Matthew W Crain practices in Southaven, MS. The NPI Number for Matthew W Crain is 1326105586 and holds a License No. (Mississippi).

The current practice location address for Matthew W Crain is 3845 Goodman Rd E, Southaven, MS and can be reached out via phone at 662-890-6862 and via fax at 662-890-6865.

Location: 3845 Goodman Rd E, Southaven, MS, 38672-6444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326105586
Provider Name
Matthew W Crain
Credential
Provider Entity Type
Organization
Address
3845 Goodman Rd E, Southaven, MS, 38672-6444
Phone Number
662-890-6862
Fax Number
662-890-6865
Provider Enumeration Date
01/03/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1082062 01 MS USA MANAGED CARE NETWORK
163731716 05 AR
4146633 01 TN BCBS TN
00303087 05 MS
612772600 01 MS OWCP
1455144 05 TN
institution
Provider Business Practice Location Address Details
Address
3845 Goodman Rd E
City
Southaven
State
Mississippi
Zip
38672-6444
Phone Number
662-890-6862
Fax Number
662-890-6865
person
Provider Business Mailing Address Details
Address
3845 Goodman Rd E
City
Southaven
State
Mississippi
Zip
38672-6444
Phone Number
662-890-6862
Fax Number
662-890-6865
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Mississippi)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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