NEW MOON MEDICAL, INC
Medical Equipment Supplier Yellow Pages
Winchester, Kentucky
Provider NPI: 1093879009
Organization Information:Organization Name: NEW MOON MEDICAL, INC
Practice Location:
1210 W LEXINGTON AVE SUITE B WINCHESTER, KY 40391 US
Tel: 859-737-5154 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1210 W LEXINGTON AVE SUITE B WINCHESTER, KY 40391 US
Tel: 859-737-5154 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332BP3500X | Suppliers Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | ||
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | KY | 184257 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
HIGHMARK BLUE SHIELD | 1865915 | KY | 01 |
UNITED AMERICAN INSURANCE | D 5624460001 | KY | 01 |
ANTHEM PROVIDER # | 393322 | KY | 01 |
90012758 | KY | 05 | |
AETNA PIN # | 7436866 | KY | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin