Provider Demographics
NPI:1245588755
Name:HEALTHCARE MANAGEMENT CORPORATION, LLC
Entity Type:Organization
Organization Name:HEALTHCARE MANAGEMENT CORPORATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:GENEVA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSWALT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-840-3400
Mailing Address - Street 1:1826 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38804-2935
Mailing Address - Country:US
Mailing Address - Phone:662-840-3400
Mailing Address - Fax:
Practice Address - Street 1:1826 E MAIN ST
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-2935
Practice Address - Country:US
Practice Address - Phone:662-840-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies