Provider Demographics
NPI:1447289509
Name:HOWELL HOME MEDICAL CORPORATION
Entity type:Organization
Organization Name:HOWELL HOME MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PRICE
Authorized Official - Middle Name:JIMMIE
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:DME SUPPLIER
Authorized Official - Phone:903-887-5533
Mailing Address - Street 1:PO BOX 476
Mailing Address - Street 2:
Mailing Address - City:MABANK
Mailing Address - State:TX
Mailing Address - Zip Code:75147-0476
Mailing Address - Country:US
Mailing Address - Phone:903-887-5533
Mailing Address - Fax:903-887-5556
Practice Address - Street 1:735 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:GUN BARREL CITY
Practice Address - State:TX
Practice Address - Zip Code:75156
Practice Address - Country:US
Practice Address - Phone:903-887-5533
Practice Address - Fax:903-887-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171344801Medicaid
TX171344802Medicaid
TX517313OtherBLUE CROSS BLUE SHIELD
TX517313OtherBLUE CROSS BLUE SHIELD
TX4765090001Medicare NSC