Healthcare Provider Details

I. General information

NPI: 1811126857
Provider Name (Legal Business Name): HORIZON MEDICAL SUPPLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 07/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 MICHIGAN AVE W SUITE 101
BATTLE CREEK MI
49037-1929
US

IV. Provider business mailing address

1425 MICHIGAN AVE W SUITE 101
BATTLE CREEK MI
49037-1929
US

V. Phone/Fax

Practice location:
  • Phone: 269-962-0336
  • Fax: 269-962-0966
Mailing address:
  • Phone: 269-962-0336
  • Fax: 269-962-0966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMMAD RAHEEM
Title or Position: PRESIDENT
Credential:
Phone: 737-737-9789