BLACKWATER MEDICAL LLC
NPI 1033343603
Durable Medical Equipment & Medical Supplies in Hattiesburg, MS

Active since May 11, 2009
1 LINCOLN PKWY, SUITE #305, HATTIESBURG, MS 39402(601) 264-0059(866) 691-3186 Get Directions Write a Review

NPPES record last updated: May 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blackwater Medical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKWATER MEDICAL LLC (NPI 1033343603) is a healthcare organization registered as a durable medical equipment & medical supplies in Hattiesburg, Mississippi and active in the NPI registry since May 2009. The organization lists James F Collins, President, as its authorized official.

NPPES Registry Identity

NPI1033343603
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBLACKWATER MEDICAL LLC
Location Address1 LINCOLN PKWY, SUITE #305Hattiesburg, MS 39402-3262
Mailing Address1 Lincoln Pkwy, Suite #305Hattiesburg, MS 39402-3262 · (601) 264-0059 · Fax (866) 691-3186
Fax(866) 691-3186
Organization SubpartNo
Authorized OfficialJames F CollinsPresident · (601) 264-0059
Enumeration DateMay 11, 2009
NPI 1033343603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
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.

1 LINCOLN PKWY, Hattiesburg, MS 39402

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1 LINCOLN PKWY, SUITE 302
HATTIESBURG, MS 39402
Specialist
1 LINCOLN PKWY, STE 300
HATTIESBURG, MS 39402
Specialist
1 LINCOLN PKWY, STE 300
HATTIESBURG, MS 39402
Family Medicine
1 LINCOLN PKWY
HATTIESBURG, MS 39402
Psychologist (Clinical)
1 LINCOLN PKWY, SUITE 202
HATTIESBURG, MS 39402
Clinic/Center (Magnetic Resonance Imaging (MRI))
1 LINCOLN PKWY, SUITE 105
HATTIESBURG, MS 39402
Psychiatry & Neurology (Psychiatry)
1 LINCOLN PKWY, SUITE 202
HATTIESBURG, MS 39402
Nurse Practitioner (Primary Care)
1 LINCOLN PKWY, SUITE 103
HATTIESBURG, MS 39402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackwater Medical LLC's NPI number?

The NPI number for Blackwater Medical LLC is 1033343603. It was assigned to this organization in the NPPES registry on May 11, 2009.

Where is Blackwater Medical LLC located?

Blackwater Medical LLC is located at 1 Lincoln Pkwy Suite #305, Hattiesburg, MS 39402. The listed phone number is (601) 264-0059.

What is Blackwater Medical LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Blackwater Medical LLC was last updated on May 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.