Provider Demographics
NPI:1922448679
Name:HIGH PLAINS HOME MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:HIGH PLAINS HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:HIGH PLAINS HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-363-2570
Mailing Address - Street 1:2921 W INTERSTATE 40
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-1616
Mailing Address - Country:US
Mailing Address - Phone:806-457-1080
Mailing Address - Fax:806-467-8368
Practice Address - Street 1:709B MAIN ST
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:TX
Practice Address - Zip Code:79045-5250
Practice Address - Country:US
Practice Address - Phone:806-363-2535
Practice Address - Fax:806-363-2570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies