Organization Name: | HEALTHCARE DME |
NPI Number: | 1255591806 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AINUL HODA (OFFICER) |
Mailing Address: | 6343 E Main St Ste B5 & B6 Mesa |
State: | AZ US |
Postal Code: | 852058954 |
Phone Number: | 4806506752 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2008 |
NPI Last Update Date: | 12/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 20268212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |