Provider Demographics
NPI:1285675983
Name:SMITHS HOME MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:SMITHS HOME MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SEAN
Authorized Official - Last Name:STURGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-353-1412
Mailing Address - Street 1:743 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-4001
Mailing Address - Country:US
Mailing Address - Phone:740-353-1412
Mailing Address - Fax:740-353-1666
Practice Address - Street 1:743 2ND ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-4001
Practice Address - Country:US
Practice Address - Phone:740-353-1412
Practice Address - Fax:740-353-1666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH73036440332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0183804Medicaid
KY90272279Medicaid
OH1049680001Medicare ID - Type Unspecified
OH0183804Medicaid
WV1049680001Medicare ID - Type Unspecified