Provider Demographics
NPI:1710928114
Name:HOSPICE MEDICAL EQUIPMENT CENTER, INC.
Entity Type:Organization
Organization Name:HOSPICE MEDICAL EQUIPMENT CENTER, INC.
Other - Org Name:FAMILY MEDICAL EQUIPMENT AND SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:940-552-2999
Mailing Address - Street 1:1720 HILLCREST DR STE B
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-4099
Mailing Address - Country:US
Mailing Address - Phone:940-552-2273
Mailing Address - Fax:940-552-5773
Practice Address - Street 1:1720 HILLCREST DR STE B
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-4099
Practice Address - Country:US
Practice Address - Phone:940-552-2273
Practice Address - Fax:940-552-5773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0170805-01Medicaid
TX0110777-01Medicaid
TX0154100003Medicare NSC