Provider Demographics
NPI:1710323415
Name:TECH MEDICAL INC
Entity Type:Organization
Organization Name:TECH MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:606-232-6750
Mailing Address - Street 1:1014 BELLEFONTE RD
Mailing Address - Street 2:
Mailing Address - City:FLATWOODS
Mailing Address - State:KY
Mailing Address - Zip Code:41139-1904
Mailing Address - Country:US
Mailing Address - Phone:606-393-6606
Mailing Address - Fax:606-644-0816
Practice Address - Street 1:44 VERNON ST
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-8511
Practice Address - Country:US
Practice Address - Phone:740-414-8090
Practice Address - Fax:740-879-0792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
KY150197253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care