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COAST TO COAST HOME MEDICAL NPI 1114004710


NPI Information

NPI: 1114004710
Provider Name: COAST TO COAST HOME MEDICAL

Doing Business As: HOMETOWN MEDICAL SUPPLY

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
300B CRESTWOOD CIR
MENA, AR
ZIP 71953
Phone: (479) 394-1833
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COAST TO COAST HOME MEDICAL is a durable medical equipment medical supplies in Mena, AR. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. COAST TO COAST HOME MEDICAL NPI is 1114004710. The provider is registered as an organization entity type.
The provider Is Doing Business As Hometown Medical Supply.

The provider's business location address is:

300B CRESTWOOD CIR
MENA, AR
ZIP 71953-515
Phone: (479) 394-1833

The provider's authorized official is Keri Suess .
The authorized official title is President and has the following contact phone number (479) 394-1833.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/5/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11094300001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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