| Organization Name: | PRO-MED HOME MEDICAL EQUIPMENT, INC. |
| NPI Number: | 1386685097 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL KEVIN DALTON (PRESIDENT / OWNER) |
| Mailing Address: | 514 Wood Ave E Big Stone Gap |
| State: | VA US |
| Postal Code: | 242193018 |
| Phone Number: | 2765235500 |
| Fax Number: | 2765235560 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |