| Stultz Home Medical Supplies Inc | |
|
1615 Ashland Rd Greenup KY 41144-1207 | |
| (606) 831-1129 | |
| (606) 473-7174 |
| Full Name | Stultz Home Medical Supplies Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1615 Ashland Rd, Greenup, Kentucky |
| Authorized Official Name and Position | Brad Stultz (PRESIDENT) |
| Authorized Official Contact | 6064737346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stultz Home Medical Supplies Inc 1615 Ashland Rd Greenup KY 41144-1207 Ph: (606) 473-7346 | Stultz Home Medical Supplies Inc 1615 Ashland Rd Greenup KY 41144-1207 Ph: (606) 831-1129 |
| NPI Number | 1194756361 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 1557489440 |
|---|---|
| Medicare Enrollment ID | O20230808003781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194756361 | NPI | - | NPPES |
| 90070459 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Rancie Hannah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275530008 PECOS PAC ID: 8921079021 Enrollment ID: I20101109001305 |
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