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Organization
MODERN MEDICAL INC
Active
Organization
MODERN MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND R. BLACK (VICE PRESIDENT)
(740) 657-3330
Entity
Organization
Contact information
Practice address
7840 GRAPHICS WAY, POST OFFICE BOX 549, LEWIS CENTER, OH 43035-8002
(740) 657-3330
(740) 657-3337
Mailing address
7840 GRAPHICS WAY, POST OFFICE BOX 549, LEWIS CENTER, OH 43035-8002
(740) 657-3330
(740) 657-3337
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
HMEP 33010
OH
332S00000X
Hearing Aid Equipment
—
NULL
333600000X
Pharmacy
Primary
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
3416A0800X
Air Ambulance
—
NULL
3416L0300X
Land Ambulance
—
NULL
3416S0300X
Water Ambulance
—
NULL
343800000X
Secured Medical Transport (VAN)
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
344600000X
Taxi
—
NULL
347C00000X
Private Vehicle
—
NULL
347E00000X
Transportation Broker
—
NULL
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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