Organization
HOME MEDICAL EQUIPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ERNEST JOHNSON (OWNER)
(715) 235-0900
Entity
Organization
Contact information
Practice address
820 N BROADWAY STREET, MENOMONIE, WI 54751-1513
(715) 235-0900
(715) 235-2332
Mailing address
820 N BROADWAY STREET, MENOMONIE, WI 54751-1513
(715) 235-0900
(715) 235-2332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41658400
—
WI
Enumeration date
02/07/2006
Last updated
04/02/2008
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