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
Fax: (830) 563-2206
Website:
Authorized official contact:
Name: Wiese, Kenneth Edward

Health care specialties

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 16 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 1528046836 NPPES
Texas Other 507642 INSURANCE PROVIDER ID
Texas MEDICAID 177105702 INSURANCE PROVIDER ID
Texas MEDICAID 177105701 INSURANCE PROVIDER ID

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