MEDICARE: HOME MEDICAL CARE COMPANY

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	332BX2000X	Oxygen Equipment & Supplies (DME)	2	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	51056431	OTHER	AL	BLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number	:	1851388789
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME MEDICAL CARE COMPANY

Provider Business Mailing Address
First Line	:	PO BOX 1248
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36868-1248
Country	:	US
Telephone Number	:	334-291-0900
Fax Number	:	334-291-0066

Provider Business Practice Location Address
First Line	:	1709 CRAWFORD RD
Second Line	:
City	:	PHENIX CITY
State	:	AL
Zip	:	36867-4230
Country	:	US
Telephone Number	:	334-291-0900
Fax Number	:	334-291-0066

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MIKE BENEFIELD
Credential	:
Telephone Number	:	334-291-0900

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	08/22/2020

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