Organization
REMKE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM HENRY REMKE (PRESIDENT)
(859) 341-3456
Entity
Organization
Contact information
Practice address
20 MEDICAL VILLAGE DR, SUITE 103, EDGEWOOD, KY 41017-5401
(859) 341-3456
(859) 341-3585
Mailing address
20 MEDICAL VILLAGE DR, SUITE 103, EDGEWOOD, KY 41017-5401
(859) 341-3456
(859) 341-3585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MG0479
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
MG0479
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
MG0479
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361585
ANTHEM
—
05
—
90009879
—
KY
Enumeration date
07/15/2005
Last updated
01/19/2012
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