Provider Demographics
NPI:1528025087
Name:HOWELL'S MEDICAL EQUIPMENT & SUPPLY
Entity Type:Organization
Organization Name:HOWELL'S MEDICAL EQUIPMENT & SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:QUENTIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:CFO
Authorized Official - Phone:478-414-1120
Mailing Address - Street 1:630 MERIWETHER RD NW
Mailing Address - Street 2:SUITE A
Mailing Address - City:MILLEDGEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31061-9839
Mailing Address - Country:US
Mailing Address - Phone:478-414-1120
Mailing Address - Fax:
Practice Address - Street 1:630 MERIWETHER RD NW
Practice Address - Street 2:SUITE A
Practice Address - City:MILLEDGEVILLE
Practice Address - State:GA
Practice Address - Zip Code:31061-9839
Practice Address - Country:US
Practice Address - Phone:478-414-1120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA332B00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA423441581AMedicaid
GA423441581AMedicaid