Organization
HEALTHCARE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELADIO MAZON PHARMACIST (PRESIDENT/CEO)
(304) 364-8976
Entity
Organization
Contact information
Practice address
608 ELK ST, GASSAWAY, WV 26624-1136
(304) 364-8976
(304) 364-8978
Mailing address
608 ELK ST, PO BOX 389, GASSAWAY, WV 26624-1136
(304) 364-8976
(304) 364-8978
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000236676
MEDICAL EQUIPMENT
WV
05
—
0148313000
—
WV
01
—
046381800
MEDICAL EQUIPMENT SUPPLIE
WV
01
—
1297466
MEDICAL EQUIPMENT SUPPLIE
WA
Enumeration date
12/09/2005
Last updated
05/23/2008
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