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NPI Code Detail

MEDICARE: DICKS HOME CARE INC

MEDICARE: DICKS HOME CARE 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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2232694OTHERPAHIGHMARK
339HA34OTHERPACAPITAL BLUE CROSS

General Provider Information

NPI Number : 1972513885
Entity Type Code : Organization
Provider Name (Legal Business Name) : DICKS HOME CARE INC
Provider Business Mailing Address
First Line : 401 MAPLE AVE
Second Line :
City : ALTOONA
State : PA
Zip : 16601-4170
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1063 N FRONT ST
Second Line :
City : PHILIPSBURG
State : PA
Zip : 16866-8258
Country : US
Telephone Number : 814-342-0900
Fax Number : 814-342-7049
Authorized Official
Title or Position : PRESIDENT
Name : MR. RANDY EDWARD DICK
Credential :
Telephone Number : 814-949-6764
Provider Enumeration Date : 08/09/2006
Last Update Date : 05/03/2011

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Directions to “DICKS HOME CARE INC ” Practice Location

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