Organization
IVYS MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVA JUDE (PRESIDENT)
(606) 298-3009
Entity
Organization
Contact information
Practice address
1882 MAIN STREET, INEZ, KY 41224-0576
(606) 298-3009
(606) 298-3004
Mailing address
PO BOX 576, INEZ, KY 41224-0576
(606) 298-3009
(606) 298-3004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000112867
BCBS OF K
KY
01
—
000001184018
CHA HEALTH
KY
05
—
9000006800
—
KY
Enumeration date
06/01/2005
Last updated
06/13/2008
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