Organization
HOGAN MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN HUMPHREY (CEO)
(818) 517-8743
Entity
Organization
Contact information
Practice address
500 INTERSTATE PARK DR STE 534, MONTGOMERY, AL 36109-5434
(334) 777-1274
Mailing address
500 INTERSTATE PARK DR, MONTGOMERY, AL 36109-5429
(334) 777-1274
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206008439
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009101039
—
VA
01
—
461711
ANTHEM BC/BS
VA
05
—
6202040000
—
WV
Enumeration date
08/02/2005
Last updated
11/02/2018
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