Provider Demographics
NPI:1619109642
Name:S&N MEDICAL SOLUTIONS, LLC
Entity Type:Organization
Organization Name:S&N MEDICAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEXTON
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:606-393-5314
Mailing Address - Street 1:2116 13TH ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-3520
Mailing Address - Country:US
Mailing Address - Phone:606-393-5314
Mailing Address - Fax:606-393-5318
Practice Address - Street 1:2116 13TH ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-3520
Practice Address - Country:US
Practice Address - Phone:606-393-5314
Practice Address - Fax:606-393-5318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-09
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV10022019OtherBRICKSTREET
KY7100125780Medicaid
WV002525659OtherMT. STATE BC/BS
WV3810019003Medicaid
WV10022019OtherBRICKSTREET
WV3810019003Medicaid