Provider Demographics
NPI:1457815060
Name:YOUR HOME TOWN MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:YOUR HOME TOWN MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:620-724-6725
Mailing Address - Street 1:207 E PRAIRIE AVE
Mailing Address - Street 2:
Mailing Address - City:GIRARD
Mailing Address - State:KS
Mailing Address - Zip Code:66743-1563
Mailing Address - Country:US
Mailing Address - Phone:620-724-6725
Mailing Address - Fax:620-223-2374
Practice Address - Street 1:1615 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:KS
Practice Address - Zip Code:66762-3049
Practice Address - Country:US
Practice Address - Phone:620-670-6080
Practice Address - Fax:620-223-2374
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies