Provider Demographics
NPI:1679653356
Name:HEALTHCARE PRODUCTS DELIVERY INC.
Entity Type:Organization
Organization Name:HEALTHCARE PRODUCTS DELIVERY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CANADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-892-3540
Mailing Address - Street 1:1300 E US HIGHWAY 136
Mailing Address - Street 2:STE A
Mailing Address - City:PITTSBORO
Mailing Address - State:IN
Mailing Address - Zip Code:46167-9513
Mailing Address - Country:US
Mailing Address - Phone:317-892-3540
Mailing Address - Fax:317-892-3541
Practice Address - Street 1:1300 E US HIGHWAY 136
Practice Address - Street 2:STE A
Practice Address - City:PITTSBORO
Practice Address - State:IN
Practice Address - Zip Code:46167-9513
Practice Address - Country:US
Practice Address - Phone:317-892-3540
Practice Address - Fax:317-892-3541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100131580Medicaid
IN000000224237OtherANTHEM
IN100131580Medicaid