Organization Name: | IN HOME MEDICAL INC |
NPI Number: | 1174669295 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM JEWELL (CEO) |
Mailing Address: | 124 E 3rd Ave Moses Lake |
State: | WA US |
Postal Code: | 988375935 |
Phone Number: | 5097640070 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 12/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | ATP6816 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |