Provider Demographics
NPI:1891720421
Name:HMG INC
Entity Type:Organization
Organization Name:HMG INC
Other - Org Name:MOBILITY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:PHACHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-631-5959
Mailing Address - Street 1:6212 NIEMAN RD
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-2902
Mailing Address - Country:US
Mailing Address - Phone:913-631-5959
Mailing Address - Fax:913-631-5911
Practice Address - Street 1:6212 NIEMAN RD
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-2902
Practice Address - Country:US
Practice Address - Phone:913-631-5959
Practice Address - Fax:913-631-5911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1197950001Medicare ID - Type Unspecified