Organization
HYDES HOME HEALTH MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAT HYDE (OWNER)
(205) 625-6334
Entity
Organization
Contact information
Practice address
210 2ND ST S, ONEONTA, AL 35121-2110
(205) 625-6334
(205) 625-6335
Mailing address
PO BOX 107, ONEONTA, AL 35121-0003
(205) 625-6334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
277
AL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
277
AL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
900051
AL
335E00000X
Prosthetic/Orthotic Supplier
277
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000051090
—
AL
01
—
57852
BCBS PROVIDER ID
AL
Enumeration date
10/19/2005
Last updated
03/13/2012
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