Provider Demographics
NPI:1245482371
Name:VANHOOSE MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:VANHOOSE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:VANHOOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-789-1700
Mailing Address - Street 1:813 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-1380
Mailing Address - Country:US
Mailing Address - Phone:606-789-1700
Mailing Address - Fax:606-789-1776
Practice Address - Street 1:813 RIDGEWAY DR
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1380
Practice Address - Country:US
Practice Address - Phone:606-789-1700
Practice Address - Fax:606-789-1776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0410680001Medicare NSC