Provider Demographics
NPI:1821355462
Name:HEALTHPRO MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:HEALTHPRO MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAYDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-872-5777
Mailing Address - Street 1:501 BARROW ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4605
Mailing Address - Country:US
Mailing Address - Phone:985-872-5777
Mailing Address - Fax:985-872-6325
Practice Address - Street 1:501 BARROW ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4605
Practice Address - Country:US
Practice Address - Phone:985-872-5777
Practice Address - Fax:985-872-6325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies