Provider Demographics
NPI:1902102213
Name:COUNTY OF HANCOCK
Entity Type:Organization
Organization Name:COUNTY OF HANCOCK
Other - Org Name:HANCOCK MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN, ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-733-4032
Mailing Address - Street 1:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:SNEEDVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37869-0032
Mailing Address - Country:US
Mailing Address - Phone:423-733-4032
Mailing Address - Fax:423-733-2681
Practice Address - Street 1:1326 MAIN ST
Practice Address - Street 2:
Practice Address - City:SNEEDVILLE
Practice Address - State:TN
Practice Address - Zip Code:37869-3826
Practice Address - Country:US
Practice Address - Phone:423-733-4032
Practice Address - Fax:423-733-2681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies