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Organization
MED 4 HOME INC.
Active
Organization
MED 4 HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MCCARTHY DO (CHIEF OPERATIONS OFFICER)
(727) 530-7700
Entity
Organization
Contact information
Practice address
10800 N CONGRESS AVE, STE A, KANSAS CITY, MO 64153-1228
(816) 801-7400
(816) 801-7300
Mailing address
19387 US HIGHWAY 19 N, CLEARWATER, FL 33764-3102
(800) 284-2006
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145877716
—
AR
05
—
4582249
—
TN
05
—
548941
—
IA
05
—
626167803
—
MO
05
—
90004698
—
KY
Enumeration date
12/21/2006
Last updated
07/26/2021
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