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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