1225133671 NPI number — QUALITY HOME MEDICAL INC.

Table of content: (NPI 1225133671)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225133671 NPI number — QUALITY HOME MEDICAL INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
QUALITY HOME MEDICAL INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1225133671
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
130 ROGERS COMMERCE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOILING SPRINGS
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29316-6144
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
864-599-9945
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
247 OAK ST
Provider Second Line Business Practice Location Address:
SUITE 111
Provider Business Practice Location Address City Name:
FOREST CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28043-3539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-288-1289
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FULLER
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
S
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
864-599-9945

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 7703335 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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