Healthcare Provider Details
I. General information
NPI: 1235162900
Provider Name (Legal Business Name): UNITED HOME MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2006
Last Update Date: 11/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
301 WEST VALLEY STREET
ABINGDON VA
24210
US
IV. Provider business mailing address
PO BOX 2364
ABINGDON VA
24212-2364
US
V. Phone/Fax
- Phone: 276-676-3277
- Fax: 276-676-3078
- Phone: 276-676-3277
- Fax: 276-676-3078
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 0206008448 |
| License Number State | VA |
VIII. Authorized Official
Name: MR.
JAMES
D
WHITMAN
II
Title or Position: MANAGER
Credential:
Phone: 276-676-3277