Organization
HOMETOWN OXYGEN PITTSBURGH L.L.C.
Active
Other names
Dynamic Healthcare Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE CONNOR (VICE PRESIDENT OF WESTERN REGION)
(412) 371-0661
Entity
Organization
Contact information
Practice address
400 RODI RD, PITTSBURGH, PA 15235-4519
(412) 371-0661
(412) 242-4489
Mailing address
400 RODI RD, PITTSBURGH, PA 15235-4519
(412) 371-0661
(412) 242-4489
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
3000008107
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019419860006
—
PA
Enumeration date
03/25/2015
Last updated
03/25/2015
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