Organization
MEDICAL HOME HEALTH OF CABARRUS,INC
Active
Other names
Home Oxygen & Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENE' HAM HAMMON CRTT, RCP (MANAGER)
(704) 782-2188
Entity
Organization
Contact information
Practice address
320 COPPERFIELD BLVD NE STE B, CONCORD, NC 28025-2431
(704) 782-2188
(704) 792-1443
Mailing address
320 COPPERFIELD BLVD NE STE B, CONCORD, NC 28025-2431
(704) 782-2188
(704) 792-1443
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
00085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0487Z
BLUE CROSS BLUE SHIELD
NC
05
—
7700056
—
NC
Enumeration date
07/01/2005
Last updated
08/22/2020
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