Provider Demographics
NPI:1346275294
Name:PSC INC.
Entity Type:Organization
Organization Name:PSC INC.
Other - Org Name:PROFESSIONAL HOME OXYGEN SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:C
Authorized Official - Last Name:HAMELINK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-495-5644
Mailing Address - Street 1:PO BOX 734157
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-4157
Mailing Address - Country:US
Mailing Address - Phone:214-710-3290
Mailing Address - Fax:480-568-5323
Practice Address - Street 1:305 WELLS FARGO DR STE A8
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-4068
Practice Address - Country:US
Practice Address - Phone:972-372-0280
Practice Address - Fax:480-562-5323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0045887332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017332001Medicaid
TX3888040001Medicare NSC