Organization
CKC MEDICAL INC
Active
Other names
Perrysburg Home Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBE U NNAJI (PRESIDENT/CEO)
(419) 872-4775
Entity
Organization
Contact information
Practice address
25671 FORT MEIGS RD, SUITE A, PERRYSBURG, OH 43551-1191
(419) 872-4775
(419) 872-4776
Mailing address
25671 FORT MEIGS RD, SUITE A, PERRYSBURG, OH 43551-1191
(419) 872-4775
(419) 872-4776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMER 22028
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HMER 22028
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000002498007
ANTHEM BCBS MANSFIELD
OH
01
—
000000249807
ANTHEM BCBS PERRYSBURG
OH
05
—
2015018
—
OH
01
—
8700304
INDIVIDUAL OPTIONS
OH
Enumeration date
08/10/2005
Last updated
08/17/2018
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