Healthcare Provider Details

I. General information

NPI: 1013069319
Provider Name (Legal Business Name): HOME OXYGEN & MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 06/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 E NORTHSIDE DR
CLINTON MS
39056-3440
US

IV. Provider business mailing address

PO BOX 1395
CLINTON MS
39060-1395
US

V. Phone/Fax

Practice location:
  • Phone: 601-924-1729
  • Fax: 601-825-4020
Mailing address:
  • Phone: 601-924-1729
  • Fax: 601-825-4020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateMS

VIII. Authorized Official

Name: MRS. PAULA W MILEY
Title or Position: SECRETARY TREASURER
Credential:
Phone: 601-924-1729