MEDICARE: HOME HEALTH MEDICAL EXPRESS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	45319589	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124060520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HEALTH MEDICAL EXPRESS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 58
Second Line	:
City	:	JACKSONVILLE
State	:	OR
Zip	:	97530-0058
Country	:	US
Telephone Number	:	541-702-2185
Fax Number	:	541-702-2203

Provider Business Practice Location Address
First Line	:	135 E E ST
Second Line	:
City	:	JACKSONVILLE
State	:	OR
Zip	:	97530-9246
Country	:	US
Telephone Number	:	541-702-2185
Fax Number	:	541-702-2203

Authorized Official
Title or Position	:	MANAGER
Name	:	KATI REICH
Credential	:
Telephone Number	:	541-702-2185

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	07/25/2011

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Directions to “HOME HEALTH MEDICAL EXPRESS, INC. ” Practice Location

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