Provider Demographics
NPI:1508052630
Name:MEDHUGO INC.
Entity Type:Organization
Organization Name:MEDHUGO INC.
Other - Org Name:PARMA MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GOODYMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-741-8379
Mailing Address - Street 1:5345 STATE RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-1246
Mailing Address - Country:US
Mailing Address - Phone:216-741-8379
Mailing Address - Fax:216-741-8431
Practice Address - Street 1:5345 STATE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1246
Practice Address - Country:US
Practice Address - Phone:216-741-8379
Practice Address - Fax:216-741-8431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHHMEL. 11305332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2868875Medicaid
OH6047570001Medicare NSC