Basic Information
| Provider Information | |||||||||
| NPI: | 1528132875 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | LINCARE INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 746046 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303746046 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7272592255 | ||||||||
| FaxNumber: | 8554755635 | ||||||||
| Practice Location | |||||||||
| Address1: | 717 FRONT ST | ||||||||
| Address2: | |||||||||
| City: | MERIDIAN | ||||||||
| State: | MS | ||||||||
| PostalCode: | 393093531 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6016935777 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/20/2006 | ||||||||
| LastUpdateDate: | 10/19/2022 | ||||||||
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| AuthorizedOfficialLastName: | MCCARTHY | ||||||||
| AuthorizedOfficialFirstName: | GREGORY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF OPERATIONS OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 7275307700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | AO | ||||||||
| NPICertificationDate: | 10/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
ID Information
| ID | Type | State | Issuer | Description | 00440999 | 05 | MS | MEDICAID |