Organization Name: | PROMISE HEALTH SERVICES LLC |
NPI Number: | 1124247200 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DERRICK GENE HAMMOND (CHIEF EXECUTIVE MANAGER) |
Mailing Address: | 207 16th St Suite 404 Ashland |
State: | KY US |
Postal Code: | 411017909 |
Phone Number: | 8664393465 |
Fax Number: | 8667317460 |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 10/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |