MEDICARE: HOMETOWN HEALTH INVESTMENTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1275002339
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMETOWN HEALTH INVESTMENTS INC

Provider Business Mailing Address
First Line	:	PO BOX 2036
Second Line	:
City	:	LOGAN
State	:	WV
Zip	:	25601-2036
Country	:	US
Telephone Number	:	304-752-0082
Fax Number	:	304-752-9600

Provider Business Practice Location Address
First Line	:	351 HANGING ROCK HWY
Second Line	:
City	:	LOGAN
State	:	WV
Zip	:	25601-5105
Country	:	US
Telephone Number	:	304-752-0082
Fax Number	:	304-752-9600

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ED THORNHILL
Credential	:	RPH
Telephone Number	:	304-752-0082

Provider Enumeration Date	:	11/19/2018
Last Update Date	:	11/19/2018

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Directions to “HOMETOWN HEALTH INVESTMENTS INC ” Practice Location

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