Provider Demographics
NPI:1891935979
Name:HOLMES MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:HOLMES MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NINELL
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:DRANKWALTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-783-7284
Mailing Address - Street 1:70 E JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:MILLERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44654-1214
Mailing Address - Country:US
Mailing Address - Phone:330-674-1980
Mailing Address - Fax:330-674-3905
Practice Address - Street 1:70 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:MILLERSBURG
Practice Address - State:OH
Practice Address - Zip Code:44654-1214
Practice Address - Country:US
Practice Address - Phone:330-674-1980
Practice Address - Fax:330-674-3905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies