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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200945740A
—
IN
Enumeration date
10/06/2008
Last updated
05/05/2016
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