Provider Demographics
NPI:1316935067
Name:DENSOW'S HOME MEDICAL, INC
Entity type:Organization
Organization Name:DENSOW'S HOME MEDICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:COWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-943-3354
Mailing Address - Street 1:1019 WRIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3011
Mailing Address - Country:US
Mailing Address - Phone:509-943-3354
Mailing Address - Fax:509-946-0659
Practice Address - Street 1:1019 WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3011
Practice Address - Country:US
Practice Address - Phone:509-943-3354
Practice Address - Fax:509-946-0659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9052622Medicaid
WA9052614Medicaid
WA4453680001Medicare NSC