Organization Name: | WKVC OF BOWLING GREEN LLC |
NPI Number: | 1407000276 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PRISCILLA E BRINKMAN (SOCIAL WORKER) |
Mailing Address: | 1711 Destiny Ln Ste 118 Bowling Green |
State: | KY US |
Postal Code: | 421041066 |
Phone Number: | 2707828866 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2008 |
NPI Last Update Date: | 03/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |