Organization Name: | LICKING MEMORIAL PROFESSIONAL CORPORATION |
NPI Number: | 1326436510 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA L. WEBSTER (VP FINANCIAL SERVICES) |
Mailing Address: | 36 Mcmillen Dr Newark |
State: | OH US |
Postal Code: | 430551809 |
Phone Number: | 7403482900 |
Fax Number: | 7403482901 |
NPI Enumeration Date: | 12/23/2014 |
NPI Last Update Date: | 07/09/2015 |
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 |