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General NPI Number Information
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NPI Number | 1598143547
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Entity Type | Organization
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Legal Business Name | PENN HIGHLANDS HOME MEDICAL EQUIPMENT LLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 502 PARK AVE
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City | CLEARFIELD
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State | PA
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Zip | 16830-2100
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Country | US
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Telephone | 814-765-0221
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Fax | 814-834-4925
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Provider Business Mailing Address
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Address Line | 21 S SAINT MARYS ST
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City | SAINT MARYS
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State | PA
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Zip | 15857-1617
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Country | US
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Telephone | 814-834-2225
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Fax | 814-834-4925
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Authorized Official
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Title or Position | ENROLLMENT
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Name | JOURDAN STRISHOCK
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Credential |
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Telephone | 814-375-6160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 3000009379
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License Number State | PA
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