Organization
M E D SUPPLIES INC
Active
Other names
M E D Supplies Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA LYNN JACKSON (TREASURER)
(513) 976-0999
Entity
Organization
Contact information
Practice address
4005 BACH BUXTON RD, AMELIA, OH 45102-1047
(513) 965-0999
(513) 965-9777
Mailing address
4005 BACH BUXTON RD, AMELIA, OH 45102-1047
(513) 965-0999
(513) 965-9777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1201482
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204799
ANTHEM
OH
05
—
200338670A
—
IN
05
—
2228262
—
OH
01
—
31175086003
MEDICAL MUTUAL OF OHIO
OH
05
—
90002437
—
KY
Enumeration date
01/11/2006
Last updated
06/07/2012
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