Organization
FAMILY HOME MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT THOMAS FIX (PRESIDENT AND CEO)
(916) 925-7009
Entity
Organization
Contact information
Practice address
5525 DEWEY DRIVE, SUITE 106A, FAIR OAKS, CA 95628-3130
(916) 925-7009
(888) 577-6924
Mailing address
PO BOX 2597, MARYSVILLE, CA 95901-0009
(916) 925-7009
(888) 577-6924
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
23663
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
59510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56024
CA DHS/FDB
CA
05
—
DME02702F
—
CA
Enumeration date
01/05/2007
Last updated
04/07/2014
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