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SOUTHERN MEDICAL
NPI 1053444968
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Logan, WV

Active since March 13, 2007
301 GEORGE KOSTAS DR, LOGAN, WV 25601(304) 752-1450(304) 752-4390 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Medical NPPES

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

SOUTHERN MEDICAL (NPI 1053444968) is a healthcare organization registered as an oxygen equipment & supplies in Logan, West Virginia and active in the NPI registry since March 2007. The organization lists Michael Ray Mullins, Owner, as its authorized official.

NPPES Registry Identity

NPI1053444968
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameMICHAEL R MULLINS II INC
Location Address301 GEORGE KOSTAS DRLogan, WV 25601-3493
Mailing Address301 George Kostas DrLogan, WV 25601-3493 · (304) 752-1450 · Fax (304) 752-4390
Phone(304) 752-1450
Fax(304) 752-4390
Organization SubpartNo
Authorized OfficialMichael Ray MullinsOwner · (304) 752-1450
Enumeration DateMarch 13, 2007
Last NPPES UpdateFebruary 2, 2015
✔ NPI 1053444968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X
301 GEORGE KOSTAS DR, Logan, WV 25601
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Other Names 1

Doing Business AsSouthern Medical

Other Identifiers 2

Medicare ID-Type Unspecified0569890001
Medicaid0147367000WV

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 Michael R Mullins II Inc's NPI number?

The NPI number for Michael R Mullins II Inc is 1053444968. It was assigned to this organization in the NPPES registry on March 13, 2007. The provider is doing business as Southern Medical.

Where is Michael R Mullins II Inc located?

Michael R Mullins II Inc is located at 301 George Kostas Dr, Logan, WV 25601. The listed phone number is (304) 752-1450.

What is Michael R Mullins II Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Michael R Mullins II Inc was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.