Healthcare Provider Details

I. General information

NPI: 1306141627
Provider Name (Legal Business Name): SPRING HILL HOME MEDICAL EQUIPMENT AND SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 10/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 KEDRON PKWY SUITE 5
SPRING HILL TN
37174-4404
US

IV. Provider business mailing address

126 KEDRON PKWY SUITE 5
SPRING HILL TN
37174-4404
US

V. Phone/Fax

Practice location:
  • Phone: 931-486-3333
  • Fax: 931-486-3333
Mailing address:
  • Phone: 931-486-3333
  • Fax: 931-486-3333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberTNPL5481031
License Number StateTN

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. JOSEPH MICHAEL STEINFATH
Title or Position: ADMINISTRATOR
Credential: CDT
Phone: 931-486-3333