Provider Demographics
NPI:1891940433
Name:MCH DISTRIBUTION CO.
Entity Type:Organization
Organization Name:MCH DISTRIBUTION CO.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-778-3400
Mailing Address - Street 1:820 HAWKINS BLVD
Mailing Address - Street 2:SUITE L
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79915-1229
Mailing Address - Country:US
Mailing Address - Phone:915-778-3400
Mailing Address - Fax:915-778-3404
Practice Address - Street 1:820 HAWKINS BLVD
Practice Address - Street 2:SUITE L
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79915-1229
Practice Address - Country:US
Practice Address - Phone:915-778-3400
Practice Address - Fax:915-778-3404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies