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Organization

HGA HOME MEDICAL EQUIPMENT, LLC

Active
Other names
Medical Centers Home Medical Equipment
Organization subpart
No

Provider details

NPI number
Authorized official
LISA J. WELLS CPCD (EXECUTIVE DIRECTOR)
(205) 221-8258
Entity
Organization

Contact information

Practice address
1321 WAGNER DR STE 500, BOAZ, AL 35957-5992
(256) 593-7450
(256) 593-7452
Mailing address
406 MEDICAL CENTER DR., JASPER, AL 35501-3400
(205) 221-8200
(205) 221-8270

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
193320
AL
Enumeration date
05/02/2016
Last updated
06/27/2023
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