Organization
MEADOWS HEALTHCARE ALLIANCE
Active
Parent organization
MEADOWS REGIONAL HOME CENTER
Other names
Alliance Home Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEADOWS REGIONAL HOME CENTER
Authorized official
MR. JOHN RICHARD CORNELL (CHIEF FINANCIAL OFFICER)
(912) 538-5881
Entity
Organization
Contact information
Practice address
1107 E 1ST ST, VIDALIA, GA 30474-4205
(912) 537-6930
(912) 537-6934
Mailing address
1107 E 1ST ST, PO BOX 1915, VIDALIA, GA 30474-4205
(912) 537-6930
(912) 537-6934
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
2006000651
GA
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2006000651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071161916A
—
GA
Enumeration date
12/20/2006
Last updated
03/09/2012
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