Organization
PIONEER HOME MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL FRANK GREEN (VICEPRESIDENT)
(740) 374-2865
Entity
Organization
Contact information
Practice address
1400 COLEGATE DR, MARIETTA, OH 45750-1330
(740) 374-2865
(740) 374-3994
Mailing address
1400 COLEGATE DR, MARIETTA, OH 45750-1330
(740) 374-2865
(740) 374-3994
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL11031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0148423000
—
WV
05
—
0559855
—
OH
Enumeration date
12/13/2005
Last updated
08/22/2020
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