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Organization

HOMETOWN OXYGEN PITTSBURGH LLC

Active
Parent organization
DYNAMIC HEALTHCARE SERVICES INC.
Other names
Dynamic Healthcare Services PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
DYNAMIC HEALTHCARE SERVICES INC.
Authorized official
MICHAEL J. GRABKO (CEO)
(717) 657-2100
Entity
Organization

Contact information

Practice address
660 LONGVIEW RD STE E, FAIRMOUNT CITY, PA 16224-1802
(814) 226-6028
(814) 226-6029
Mailing address
22631 ROUTE 68, SUITE 480, CLARION, PA 16214-4068
(814) 226-6028
(814) 226-6029

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3000007900
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019419860005
PA
Enumeration date
12/29/2006
Last updated
04/08/2022
About Stedi
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  • EDI platform