Organization
HOME DELIVERY INCONTINENT SUPPLIES CO INC
Active
Parent organization
JOURNEY DPC CORP
Other names
HDIS
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOURNEY DPC CORP
Authorized official
BRAD GOODWIN (PRESIDENT)
(314) 997-8771
Entity
Organization
Contact information
Practice address
9385 DIELMAN INDUSTRIAL DRIVE, OLIVETTE, MO 63132
(314) 997-8771
(314) 997-0997
Mailing address
9385 DIELMAN INDUSTRIAL DRIVE, OLIVETTE, MO 63132
(314) 997-8771
(314) 997-0997
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005603098
—
MT
05
—
010070724
—
VA
05
—
015365201
—
TX
05
—
02056215
—
NY
05
—
0543678
—
IA
05
—
075269301
—
TX
05
—
079035401
—
TX
05
—
100013540A
—
IN
05
—
117002300
—
MD
05
—
118720716
—
AR
05
—
2167408
—
OH
05
—
3408441
—
NC
05
—
535063800
—
MN
05
—
628652307
—
MO
05
—
805526300
—
ID
05
—
81866300
—
WI
05
—
8358702
—
NJ
05
—
9028242
—
WA
05
—
98013006
—
CO
Enumeration date
08/17/2006
Last updated
04/23/2025
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