Phoenix Healthcare, Llc
Durable Medical Equipment & Medical Supplies
199 Interstate Dr, Suite U, Richland
Mississippi, 39218-4428
601-932-3397 601-932-3398
Phoenix Healthcare, Llc is a Durable Medical Equipment & Medical Supplies in Richland, Mississippi. It is located at 199 Interstate Dr, Suite U, Richland and it's customer support contact number is 601-932-3397. The authorized person of Phoenix Healthcare, Llc is Mr. Roland B Wall Iii who is Owner of this DME and his contact number is 601-932-3397.
Phoenix Healthcare, Llc is 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.
DME Supplier Details:
Phoenix Healthcare, Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Phoenix Healthcare, Llc |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 199 Interstate Dr, Suite U, Richland,
Mississippi, 39218-4428 |
| Phone: | 601-932-3397 |
| Fax: | 601-932-3398 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Roland B Wall Iii |
| Position: | Owner |
| Contact Number: | 601-932-3397 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1730288507 |
| NPI Enumeration Date: | 21 Sep, 2006 |
| NPI Last Update On: | 23 Sep, 2011 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phoenix Healthcare, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 06824216 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 199 Interstate Dr, Suite U
Richland, Mississippi |
| Zip: | 39218-4428 |
| Phone Number: | 601-932-3397 |
| Fax Number: | 601-932-3398 |
Patients can reach Phoenix Healthcare, Llc at
199 Interstate Dr, Suite U, Richland, Mississippi or can
call on customer care at 601-932-3397.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.