Provider Demographics
NPI:1396744371
Name:PAO2 HOME MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:PAO2 HOME MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MCNEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-537-3100
Mailing Address - Street 1:1935 DAILEY AVE
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-3087
Mailing Address - Country:US
Mailing Address - Phone:724-537-3100
Mailing Address - Fax:724-537-6200
Practice Address - Street 1:1935 DAILEY AVE
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-3087
Practice Address - Country:US
Practice Address - Phone:724-537-3100
Practice Address - Fax:724-537-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3000007643332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1620314OtherBCBS
PA5098380001Medicare ID - Type Unspecified