MEDICARE: PROFESSIONAL HEALTH CARE SERVICES 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	332BX2000X	Oxygen Equipment & Supplies (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659878676
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROFESSIONAL HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	14965 STATE HIGHWAY 59 STE 102
Second Line	:
City	:	FOLEY
State	:	AL
Zip	:	36535-2471
Country	:	US
Telephone Number	:	251-947-5593
Fax Number	:

Provider Business Practice Location Address
First Line	:	5620 CHERRY ST STE B
Second Line	:
City	:	PANAMA CITY
State	:	FL
Zip	:	32404-6766
Country	:	US
Telephone Number	:	850-563-7853
Fax Number	:

Authorized Official
Title or Position	:	VP
Name	:	MRS. LISA J WELLS
Credential	:
Telephone Number	:	205-221-8258

Provider Enumeration Date	:	04/06/2018
Last Update Date	:	02/16/2026

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Directions to “PROFESSIONAL HEALTH CARE SERVICES INC ” Practice Location

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