Provider Demographics
NPI:1417913625
Name:LYNCH DME LLC
Entity Type:Organization
Organization Name:LYNCH DME LLC
Other - Org Name:UNITED HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-295-7262
Mailing Address - Street 1:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:LEWISPORT
Mailing Address - State:KY
Mailing Address - Zip Code:42351-0365
Mailing Address - Country:US
Mailing Address - Phone:270-295-7262
Mailing Address - Fax:270-295-7270
Practice Address - Street 1:8159 US HIGHWAY 60 W
Practice Address - Street 2:
Practice Address - City:LEWISPORT
Practice Address - State:KY
Practice Address - Zip Code:42351-7081
Practice Address - Country:US
Practice Address - Phone:270-295-7262
Practice Address - Fax:270-295-7270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-25
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200495600AMedicaid
KYSB10OtherBLUE CROSS/BLUE SHIELD
KY50007608Medicaid
KY000000289159OtherANTHEM HEALTH PLAN
KY90005794Medicaid
KYSB10OtherBLUE CROSS/BLUE SHIELD
IN200495600AMedicaid