Provider Demographics
NPI:1992801419
Name:HELLSTROM CONSULTING INC
Entity type:Organization
Organization Name:HELLSTROM CONSULTING INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HELLSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-223-4191
Mailing Address - Street 1:PO BOX 194
Mailing Address - Street 2:
Mailing Address - City:MARSHALLS CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:18335-0194
Mailing Address - Country:US
Mailing Address - Phone:570-223-4191
Mailing Address - Fax:570-223-2745
Practice Address - Street 1:123 COLUMBIA DR
Practice Address - Street 2:STE B JAY PARK
Practice Address - City:MARSHALLS CREEK
Practice Address - State:PA
Practice Address - Zip Code:18335-0194
Practice Address - Country:US
Practice Address - Phone:570-223-4191
Practice Address - Fax:570-223-2745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000005481332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4354130001Medicare ID - Type Unspecified