Hendrick Medical Supply

LBN: Hendrick Southwestern Health Development Corporation
Hendrick Medical Supply is an health care organization with primary practice located at 105 E Arizona Ave , Sweetwater TX 79556-7117. 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 / Oxygen Equipment & Supplies is the primary health care specialty. Hendrick Southwestern Health Development Corporation can be contacted via phone (325) 235-8500, or through Bessent, Brian via phone (325) 670-6067.

Contact Information

Primary practice address
105 E Arizona Ave Sweetwater TX 79556-7117
Phone: (325) 235-8500
Fax: (325) 235-8527
Website:
Map and Directions
Authorized official contact:
Name: Bessent, Brian
Phone: (325) 670-6067

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0035126 Texas
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 0035126 Texas
Suppliers / Oxygen Equipment & Supplies 332BX2000X 0035126 Texas

Profile Details

NPI number 1760460927
LBN Legal business name Hendrick Southwestern Health Development Corporation
DBA Doing business as Hendrick Medical Supply
Authorized official Bessent, Brian
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2006
Last updated Jun 27th, 2022 - about 2 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 1760460927 NPPES
Texas Other 107626701 MEDICAID CCP PROGRAM
Texas MEDICAID 017032601 MEDICAID CCP PROGRAM
Texas Other B519895 MEDICAID CCP PROGRAM

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