Organization Name: | STARS AND STRIPES MEDICAL LLC |
NPI Number: | 1780920058 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD P. COYLE (CEO/MEMBER) |
Mailing Address: | 301 W. Stephen Foster Ave Suite B. Bardstown |
State: | KY US |
Postal Code: | 40004 |
Phone Number: | 5027247883 |
Fax Number: | 5022901291 |
NPI Enumeration Date: | 12/14/2012 |
NPI Last Update Date: | 01/15/2013 |
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 |