Provider Demographics
NPI:1952383382
Name:HERITAGE HOME MEDICAL EQUIPMENT, INC
Entity type:Organization
Organization Name:HERITAGE HOME MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-687-3333
Mailing Address - Street 1:2413 KEMP BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76309-5348
Mailing Address - Country:US
Mailing Address - Phone:940-687-3333
Mailing Address - Fax:940-228-0867
Practice Address - Street 1:2413 KEMP BLVD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76309-5348
Practice Address - Country:US
Practice Address - Phone:940-687-3333
Practice Address - Fax:940-228-0867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176922601Medicaid
TX176922601Medicaid
1=========9Medicare ID - Type Unspecified