Provider Demographics
NPI:1548592371
Name:H K A CORPORATION
Entity Type:Organization
Organization Name:H K A CORPORATION
Other - Org Name:AMERICAN MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-445-3330
Mailing Address - Street 1:PO BOX 472
Mailing Address - Street 2:
Mailing Address - City:PECOS
Mailing Address - State:TX
Mailing Address - Zip Code:79772-0472
Mailing Address - Country:US
Mailing Address - Phone:432-283-1238
Mailing Address - Fax:432-283-8317
Practice Address - Street 1:215 EAST BROADWAY
Practice Address - Street 2:
Practice Address - City:VAN HORN
Practice Address - State:TX
Practice Address - Zip Code:79855
Practice Address - Country:US
Practice Address - Phone:432-283-1238
Practice Address - Fax:432-283-8317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3126724-01Medicaid
TX3126724-02Medicaid
TX0331680003Medicare NSC