Organization
ELUMINA MEDICAL SUPPLIES, INC.
Active
Other names
Hallmark Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
KIM FERGUSON (SVP OF TREASURY & REGULATORY MANAGE)
(740) 352-8113
Entity
Organization
Contact information
Practice address
1220 GAY ST, PORTSMOUTH, OH 45662-3460
(740) 353-0202
(740) 353-2091
Mailing address
PO BOX 410, PORTSMOUTH, OH 45662-0410
(740) 353-0202
(740) 353-2091
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0787975
—
OH
05
—
90254376
—
KY
Enumeration date
08/31/2006
Last updated
04/09/2025
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