Home Medical Supply of Poplar Bluff, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

13165593 Issued in MO

Legal business name

HOME MEDICAL SUPPLY OF POPLAR BLUFF, INC

Practice address

760 S Kingshighway St
Suite L
Cape Girardeau, MO 63703-7630

Phone

(888) 388-0933

Fax

(573) 335-0153

NPI assigned

Jun 10, 2005

Organization subpart

No

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

Authorized official

Name

Mylynn Gargac

Title

Billing Supervisor

Phone

(800) 682-5510

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1275537938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SUNSET DR",
            "address_2": "SUITE A",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012820",
            "telephone_number": "800-682-5510",
            "fax_number": "573-686-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 S KINGSHIGHWAY ST",
            "address_2": "SUITE L",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637037630",
            "telephone_number": "888-388-0933",
            "fax_number": "573-335-0153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME MEDICAL SUPPLY OF POPLAR BLUFF, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "GARGAC",
        "authorized_official_first_name": "MYLYNN",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "800-682-5510"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "13165593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Benjamin Holt, PHARM.D.
• Katrina Holt, RN
• Karen Holtzclaw
• Casey Holzum, LPN
• Diane W Holzum, APRN, MSN, CNS
• Hometown Care in Home, LLC
• Trygve O Honaas, M.D.
• Im S Hong, MD
• Danylle Hoover
• Laura Leanne Hopper, BCBA

• Durable Medical Equipment & Medical Supplies in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.