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Organization

RANCER L. HUNTINGTON

Active
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Organization

RANCER L. HUNTINGTON

Active
Other names
Stateline Medical Equipment
Organization subpart
No

Provider details

NPI number
Authorized official
RANCER L HUNTINGTON (OWNER/OPERATOR)
(765) 488-0618
Entity
Organization

Contact information

Practice address
1090 CHESTER BLVD, RICHMOND, IN 47374-1902
(765) 488-0618
(765) 488-1916
Mailing address
1090 CHESTER BLVD, RICHMOND, IN 47374-1902
(765) 488-0618
(765) 488-1916

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332BC3200X
Customized Equipment (DME)

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200945740A
IN
Enumeration date
10/06/2008
Last updated
07/28/2026
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