Provider Demographics
NPI:1437114022
Name:HOME MEDICAL EQUIPMENT CO
Entity type:Organization
Organization Name:HOME MEDICAL EQUIPMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RADFORD
Authorized Official - Middle Name:E
Authorized Official - Last Name:PYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-738-3092
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:CORYDON
Mailing Address - State:IN
Mailing Address - Zip Code:47112-0328
Mailing Address - Country:US
Mailing Address - Phone:812-738-3092
Mailing Address - Fax:812-738-4286
Practice Address - Street 1:1293 HILLVIEW DRIVE
Practice Address - Street 2:
Practice Address - City:CORYDON
Practice Address - State:IN
Practice Address - Zip Code:47112-0328
Practice Address - Country:US
Practice Address - Phone:812-738-1112
Practice Address - Fax:812-738-4286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-18
Last Update Date:2008-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN0028746870012332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000069817OtherANTHEM
IN000000069817OtherANTHEM