Provider Demographics
NPI:1376622381
Name:WERNER HOME MEDICAL CARE, INC.
Entity Type:Organization
Organization Name:WERNER HOME MEDICAL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:STYDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-886-4405
Mailing Address - Street 1:415 E KEMP
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:SD
Mailing Address - Zip Code:57201-3720
Mailing Address - Country:US
Mailing Address - Phone:605-886-4405
Mailing Address - Fax:605-886-4604
Practice Address - Street 1:415 E KEMP
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:SD
Practice Address - Zip Code:57201-3720
Practice Address - Country:US
Practice Address - Phone:605-886-4405
Practice Address - Fax:605-886-4604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies