Provider Demographics
NPI:1609147214
Name:BRITKARE HOME MEDICAL
Entity Type:Organization
Organization Name:BRITKARE HOME MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SALES / ATP
Authorized Official - Prefix:MR
Authorized Official - First Name:REED
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:ATP
Authorized Official - Phone:806-355-3363
Mailing Address - Street 1:2112 S COULTER ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-2514
Mailing Address - Country:US
Mailing Address - Phone:806-351-2500
Mailing Address - Fax:806-351-0071
Practice Address - Street 1:2112 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2514
Practice Address - Country:US
Practice Address - Phone:806-351-2500
Practice Address - Fax:806-351-0071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-13
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX189016207Medicaid
TX0962670003Medicare PIN