Organization Name: | COMMUNITY HME LLC |
NPI Number: | 1659325579 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL HALL (VICE PRESIDENT) |
Mailing Address: | 1212 8th St Suite 3 Baraboo |
State: | WI US |
Postal Code: | 539131875 |
Phone Number: | 6083550774 |
Fax Number: | 6083550787 |
NPI Enumeration Date: | 05/22/2006 |
NPI Last Update Date: | 05/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1822-45 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |