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PROMISE HEALTH SERVICES LLC NPI 1124247200


NPI Information

NPI: 1124247200
Provider Name: PROMISE HEALTH SERVICES LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
207 16TH ST
SUITE 404
ASHLAND, KY
ZIP 41101
Phone: (866) 439-3465
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PROMISE HEALTH SERVICES LLC is a durable medical equipment medical supplies in Ashland, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PROMISE HEALTH SERVICES LLC NPI is 1124247200. The provider is registered as an organization entity type.

The provider's business location address is:

207 16TH ST
SUITE 404
ASHLAND, KY
ZIP 41101-909
Phone: (866) 439-3465
Fax: (866) 731-7460

The provider's authorized official is Derrick Gene Hammond .
The authorized official title is Chief Executive Manager and has the following contact phone number (866) 439-3465.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 10/18/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100004560MEDICAIDKENTUCKY
25939250001MEDICARE NSCKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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