Provider Demographics
NPI:1699173799
Name:HAMILTON HEALTH SUPPLIES
Entity type:Organization
Organization Name:HAMILTON HEALTH SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CALALIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-388-8739
Mailing Address - Street 1:702 MASSACHUSETTS AVE
Mailing Address - Street 2:
Mailing Address - City:UNICOI
Mailing Address - State:TN
Mailing Address - Zip Code:37692-4107
Mailing Address - Country:US
Mailing Address - Phone:423-388-8739
Mailing Address - Fax:423-735-0577
Practice Address - Street 1:702 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:UNICOI
Practice Address - State:TN
Practice Address - Zip Code:37692-4107
Practice Address - Country:US
Practice Address - Phone:423-388-8739
Practice Address - Fax:423-735-0577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment