MEDICARE: SUMMIT HME, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BC3200X	Customized Equipment (DME)
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	332BX2000X	Oxygen Equipment & Supplies (DME)
4	332B00000X	Durable Medical Equipment & Medical Supplies

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952301608
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUMMIT HME, INC.

Provider Business Mailing Address
First Line	:	11930 STARCREST DR STE 108
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-4102
Country	:	US
Telephone Number	:	210-521-9800
Fax Number	:	210-682-9143

Provider Business Practice Location Address
First Line	:	11930 STARCREST DR STE 108
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-4102
Country	:	US
Telephone Number	:	210-521-9800
Fax Number	:	210-682-9143

Authorized Official
Title or Position	:	OWNER
Name	:	SHAWN MCCORMICK
Credential	:
Telephone Number	:	210-521-9800

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	11/05/2019

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Directions to “SUMMIT HME, INC. ” Practice Location

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