Organization
IN HOME MEDICAL INC
Active
Other names
moses lake location
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM JEWELL (CEO)
(509) 547-2246
Entity
Organization
Contact information
Practice address
124 E 3RD AVE, MOSES LAKE, WA 98837-5935
(509) 764-0070
Mailing address
9527 SANDIFUR PKWY, PASCO, WA 99301-9105
(509) 547-2246
(509) 547-2808
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
ATP6816
WA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
01/29/2007
Last updated
12/21/2015
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