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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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