Organization
PACK MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES FRANKLIN VANOVER (CEO/PRESIDENT)
(606) 920-9701
Entity
Organization
Contact information
Practice address
1653 GREENUP AVE, ASHLAND, KY 41101-7615
(606) 920-9701
(606) 920-9716
Mailing address
PO BOX 2203, ASHLAND, KY 41105-2203
(606) 920-9701
(606) 920-9716
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070191
BCBS PROVIDER
KY
05
—
0183037
—
OH
05
—
6264014000
—
WV
05
—
90060104
—
KY
Enumeration date
04/26/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us