Provider Demographics
NPI:1851324073
Name:BAY AREA HOME MEDICAL EQUIPMENT CO
Entity Type:Organization
Organization Name:BAY AREA HOME MEDICAL EQUIPMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:KIMBERLY
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-472-0848
Mailing Address - Street 1:2252 GOVERNMENT ST # B
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-1605
Mailing Address - Country:US
Mailing Address - Phone:251-472-0848
Mailing Address - Fax:251-470-8714
Practice Address - Street 1:2252 GOVERNMENT ST # B
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-1605
Practice Address - Country:US
Practice Address - Phone:251-472-0848
Practice Address - Fax:251-470-8714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
637332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5401090001Medicare NSC