Organization
QUALITY PROVIDER SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BREEDING RD LD (OWNER)
(859) 623-0912
Entity
Organization
Contact information
Practice address
229 CHURCHILL DR, RICHMOND, KY 40475-3295
(859) 623-0912
Mailing address
229 CHURCHILL DR, RICHMOND, KY 40475-3295
(859) 623-0912
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277772
ANTHEM BC/BS PROVIDER NU
KY
01
—
146300
RAILROAD MEDICARE
KY
01
—
50000869
PASSPORT PROVIDER NUMBER
KY
01
—
6300010
UNITED HEALTHCARE
KY
01
—
710000850
UMWA
KY
05
—
90005570
—
KY
01
—
FS 1368
FIRST STEPS
KY
Enumeration date
05/05/2006
Last updated
09/12/2008
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