Organization
AMERICAN MEDICAL SUPPLY OF LOVELAND INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ETTA RAY LPED, CFOM (PRESIDENT)
(513) 342-1927
Entity
Organization
Contact information
Practice address
1305 STATE ROUTE 28, STE C, LOVELAND, OH 45140-6081
(513) 342-1927
(513) 575-0733
Mailing address
1305 STATE ROUTE 28, STE C, LOVELAND, OH 45140-6081
(513) 342-1927
(513) 575-0733
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5613000001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000490296
ANTHEM
OH
05
—
2626368
—
OH
01
—
332822
AMERIGROUP
OH
Enumeration date
05/25/2006
Last updated
06/07/2011
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