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Organization
HYDES HOME HEALTH MEDICAL SUPPLIES INC
Active
Organization
HYDES HOME HEALTH MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAT HYDE (OWNER)
(205) 625-6334
Entity
Organization
Contact information
Practice address
210 2ND ST S, ONEONTA, AL 35121-2110
(205) 625-6334
(205) 625-6335
Mailing address
PO BOX 107, ONEONTA, AL 35121-0003
(205) 625-6334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
277
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
277
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
900051
AL
335E00000X
Prosthetic/Orthotic Supplier
277
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051090
—
AL
01
—
57852
BCBS PROVIDER ID
AL
Enumeration date
10/19/2005
Last updated
03/13/2012
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