Provider Demographics
NPI:1750306635
Name:MARTIN TNS, INC.
Entity Type:Organization
Organization Name:MARTIN TNS, INC.
Other - Org Name:MARTIN TNS. INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-273-9877
Mailing Address - Street 1:4209 BRIDGEMONT LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-6054
Mailing Address - Country:US
Mailing Address - Phone:859-273-9877
Mailing Address - Fax:859-271-7077
Practice Address - Street 1:4209 BRIDGEMONT LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-6054
Practice Address - Country:US
Practice Address - Phone:859-273-9877
Practice Address - Fax:859-271-7077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90090341Medicaid
KY90090341Medicaid