Hometown Medical Llc

LBN: Hometown Medical Llc
Hometown Medical Llc is an health care organization with primary practice located at 814 Belmont Street , Vicksburg MS 39180. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Hometown Medical Llc can be contacted via phone (601) 634-6363, or through Crawford, Gregory J via phone (859) 441-8876.

Contact Information

Primary practice address
814 Belmont Street Vicksburg MS 39180
Phone: (601) 634-6363
Fax: (601) 634-6380
Website:
Map and Directions
Authorized official contact:
Name: Crawford, Gregory J
Phone: (859) 441-8876

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1255437844
LBN Legal business name Hometown Medical Llc
DBA Doing business as
Authorized official Crawford, Gregory J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Jul 22nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255437844 NPPES
Mississippi MEDICAID 00440965

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