Wyoming Home Medical

LBN: Life Guard Inc
Wyoming Home Medical is an health care organization with primary practice located at Corner Of Bank & Main St. , Pineville WV 24874. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Life Guard Inc can be contacted via phone (304) 732-9270, or through Shively, Matt via phone (304) 665-2346.

Contact Information

Primary practice address
Corner Of Bank & Main St. Pineville WV 24874
Fax: (304) 732-9270
Website:
Authorized official contact:
Name: Shively, Matt

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X NONE REQUIRED
Suppliers / Oxygen Equipment & Supplies 332BX2000X NONE REQUIRED

Profile Details

NPI number 1720140239
LBN Legal business name Life Guard Inc
DBA Doing business as Wyoming Home Medical
Authorized official Shively, Matt
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1720140239 NPPES
West Virginia MEDICAID 6204088000

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