Organization
WATERSTONE ACQUISITION, LLC
Active
Other names
Pinnacle HME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL EDWARD SEGAR (CHIEF EXECUTIVE OFFICER)
(423) 463-9929
Entity
Organization
Contact information
Practice address
2341 W BEAVER CREEK DR, POWELL, TN 37849-4831
(800) 355-7774
Mailing address
2341 W BEAVER CREEK DR, POWELL, TN 37849-4831
(800) 355-7774
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1185
STATE OF TN - DME LICENSE
TN
05
—
1454915
—
TN
01
—
69001212A
STATE OF IN - DME LICENSE
IN
01
—
C001080
STATE OF AZ - DME LICENSE
AZ
01
—
DME 000556
STATE OF LA - DME LICENSE
LA
01
—
HMER-23311-HQAA
STATE OF OH - DME LICENSE
OH
Enumeration date
01/05/2006
Last updated
10/31/2014
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