Home Emergency Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1293539-0 Issued in OR

Legal business name

HOME EMERGENCY MEDICAL SUPPLY INC

Practice address

1090 Commercial St NE
Salem, OR 97301-1057

Phone

(503) 585-2027

Fax

(503) 585-0789

NPI assigned

Oct 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Thomas Stephen Ruddy Jr.

Title

Owner/President

Phone

(503) 585-2027

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Medical Supply Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1083798367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 COMMERCIAL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011057",
            "telephone_number": "503-585-2027",
            "fax_number": "503-585-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 COMMERCIAL ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011057",
            "telephone_number": "503-585-2027",
            "fax_number": "503-585-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME EMERGENCY MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "RUDDY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "503-585-2027",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "1293539-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240589",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Colene Holmes, QMHA
• Richard Lynn Holsapple, RPH
• Brian Holt, LCSW
• Jason Holt, D.C.
• Laney Holtgrefe, LCSW
• Home Inc.
• Rebecca Honda
• Kelly Ann Hood, LMT
• Marie M. Hook, OTR
• Melissa Christine Hoonhout

• Durable Medical Equipment & Medical Supplies in Salem, OR
• Providers in Salem, OR by specialty
• Durable Medical Equipment & Medical Supplies in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.