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NPI Code Detail

MEDICARE: HOME MEDICAL SUPPLY OF POPLAR BLUFF, INC.

MEDICARE: HOME MEDICAL SUPPLY OF POPLAR BLUFF, 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
1332B00000XDurable Medical Equipment & Medical SuppliesMO

General Provider Information

NPI Number : 1730183393
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOME MEDICAL SUPPLY OF POPLAR BLUFF, INC.
Provider Business Mailing Address
First Line : 1901 SUNSET DR
Second Line : SUITE A
City : POPLAR BLUFF
State : MO
Zip : 63901-2820
Country : US
Telephone Number : 800-682-5510
Fax Number : 573-686-6846
Provider Business Practice Location Address
First Line : 738 S GLENSTONE AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65802-3247
Country : US
Telephone Number : 888-922-0002
Fax Number : 417-863-9094
Authorized Official
Title or Position : BILLING SUPERVISOR
Name : MYLYNN GARGAC
Credential :
Telephone Number : 800-682-5510
Provider Enumeration Date : 06/10/2005
Last Update Date : 07/21/2022

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Directions to “HOME MEDICAL SUPPLY OF POPLAR BLUFF, INC. ” Practice Location

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