Organization
HOME EMERGENCY MEDICAL SUPPLY INC
Active
Organization
HOME EMERGENCY MEDICAL SUPPLY INC
Active
Other names
Pacific Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS STEPHEN RUDDY JR. (OWNER/PRESIDENT)
(503) 585-2027
Entity
Organization
Contact information
Practice address
1090 COMMERCIAL ST NE, SALEM, OR 97301-1057
(503) 585-2027
(503) 585-0789
Mailing address
1090 COMMERCIAL ST NE, SALEM, OR 97301-1057
(503) 585-2027
(503) 585-0789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1293539-0
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240589
—
OR
Enumeration date
10/24/2006
Last updated
10/11/2011
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