# MODERN MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336316967
- **Authorized official:** MR. RAYMOND R. BLACK (VICE PRESIDENT)
- **Authorized official phone:** (740) 657-3330

## Contact information

- **Practice address:** 7840 GRAPHICS WAY, POST OFFICE BOX 549, LEWIS CENTER, OH 43035-8002
- **Practice address phone:** (740) 657-3330
- **Practice address fax:** (740) 657-3337
- **Mailing address:** 7840 GRAPHICS WAY, POST OFFICE BOX 549, LEWIS CENTER, OH 43035-8002
- **Mailing address phone:** (740) 657-3330
- **Mailing address fax:** (740) 657-3337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 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