Healthcare Provider Details

I. General information

NPI: 1528381803
Provider Name (Legal Business Name): HUDSON HOME MEDICAL EQUIPMENT & OXYGEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8415 S 700 W SUITE 20
SANDY UT
84070-6505
US

IV. Provider business mailing address

8415 S 700 W SUITE 20
SANDY UT
84070-6505
US

V. Phone/Fax

Practice location:
  • Phone: 801-898-6425
  • Fax: 800-294-1685
Mailing address:
  • Phone: 801-898-6425
  • Fax: 800-294-1685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MR. EDWARD ANDERSON
Title or Position: OWNER
Credential:
Phone: 801-898-6425