Provider Demographics
NPI:1689737736
Name:DMECO INC
Entity Type:Organization
Organization Name:DMECO INC
Other - Org Name:DMECO MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DMECO VICE PRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-983-2100
Mailing Address - Street 1:PO BOX 886
Mailing Address - Street 2:
Mailing Address - City:KILGORE
Mailing Address - State:TX
Mailing Address - Zip Code:75663-0086
Mailing Address - Country:US
Mailing Address - Phone:903-983-2100
Mailing Address - Fax:903-983-3683
Practice Address - Street 1:820 US HIGHWAY 259 N
Practice Address - Street 2:
Practice Address - City:KILGORE
Practice Address - State:TX
Practice Address - Zip Code:75663-0086
Practice Address - Country:US
Practice Address - Phone:903-983-2100
Practice Address - Fax:903-983-3683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX015648101Medicaid
TX507397OtherBCBS
TX0425090001Medicare NSC