Brackettville Home Medical Supply Llc
LBN: Brackettville Home Medical Supply Llc
Brackettville Home Medical Supply Llc is an health care organization with primary practice located at 302 Military Dr , Brackettville TX 78832. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Brackettville Home Medical Supply Llc can be contacted via phone (830) 563-2200, or through Wiese, Kenneth Edward via phone (830) 775-4060.
Contact Information
Primary practice address
302 Military Dr
Brackettville TX 78832
Phone: (830) 563-2200
Fax: (830) 563-2206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 0082284 | Texas |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X |
Profile Details
| NPI number | 1528046836 |
|---|---|
| LBN Legal business name | Brackettville Home Medical Supply Llc |
| DBA Doing business as | |
| Authorized official | Wiese, Kenneth Edward |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Aug 20th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528046836 | NPPES |
| Texas | Other | 507642 | INSURANCE PROVIDER ID |
| Texas | MEDICAID | 177105702 | INSURANCE PROVIDER ID |
| Texas | MEDICAID | 177105701 | INSURANCE PROVIDER ID |
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