Provider Demographics
NPI:1831931427
Name:CLOUD MEDICAL SUPPLY
Entity type:Organization
Organization Name:CLOUD MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/RESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-585-2137
Mailing Address - Street 1:208 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CORBIN
Mailing Address - State:KY
Mailing Address - Zip Code:40701-1452
Mailing Address - Country:US
Mailing Address - Phone:606-258-8600
Mailing Address - Fax:606-258-8333
Practice Address - Street 1:485 MEMORIAL DR STE 3
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:KY
Practice Address - Zip Code:40962-9111
Practice Address - Country:US
Practice Address - Phone:606-598-0395
Practice Address - Fax:606-598-0397
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLOUD MEDICAL SUPPLY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies