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ASHLAND INTEGRATED MEDICINE PSC NPI 1558761734


NPI Information

NPI: 1558761734
Provider Name: ASHLAND INTEGRATED MEDICINE PSC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
155 W. CENTRAL AVENUE
ASHLAND, KY
ZIP 41101
Phone: (606) 393-0110
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ASHLAND INTEGRATED MEDICINE PSC 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. ASHLAND INTEGRATED MEDICINE PSC NPI is 1558761734. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

155 W. CENTRAL AVENUE
ASHLAND, KY
ZIP 41101-364
Phone: (606) 393-0110
Fax: (606) 326-0114

The provider's authorized official is Daniel Lee Vanhoose .
The authorized official title is Aprn/owner and has the following contact phone number (606) 393-0110.

The enumeration date for this NPI number is 8/26/2014 and was last updated on 11/30/2016.


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
1208600000XSurgery36483KENTUCKYNo
2111N00000XChiropractor5449KENTUCKYNo
3363L00000XNurse Practitioner3006910KENTUCKYNo
4332B00000XDurable 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
17100428120MEDICAIDKENTUCKY
27100363920MEDICAIDKENTUCKY
37100350560MEDICAIDKENTUCKY
4K123820MEDICARE PINKENTUCKY

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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