Provider Demographics
NPI:1881837375
Name:HIL MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:HIL MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAUDI
Authorized Official - Middle Name:
Authorized Official - Last Name:SSENUNGI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-550-0497
Mailing Address - Street 1:10200 CORRALES RD NW STE E5A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-4532
Mailing Address - Country:US
Mailing Address - Phone:505-890-0061
Mailing Address - Fax:505-899-1316
Practice Address - Street 1:10200 CORRALES RD NW STE E5A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-4532
Practice Address - Country:US
Practice Address - Phone:505-890-0061
Practice Address - Fax:505-899-1316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier