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Organization

E-HEALTHCARE SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES A HAGAN JR. (PRESIDENT)
(812) 248-9744
Entity
Organization

Contact information

Practice address
4711 COMMERCE PASS STE A, SELLERSBURG, IN 47172-1356
(812) 248-9744
(812) 248-9788
Mailing address
4711 COMMERCE PASS STE A, SELLERSBURG, IN 47172-1356
(812) 248-9744
(812) 248-9788

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
332BX2000X
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000217045
ANTHEM
KY
01
1146146
PASSPORT HEALTH PLAN
KY
05
200215540A
IN
05
7100013610
KY
Enumeration date
11/04/2005
Last updated
05/24/2021
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