APPALACHIAN MEDICAL LLC (NPI# 1720689805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720689805 |
| Entity Type | Organization |
| Organization Name | APPALACHIAN MEDICAL LLC |
| Practice Address |
218 Dingess St Logan WV 25601 |
| Mailing Address |
1025 Main St Milton WV 25541-1215 |
| Practice Telephone | 3043458501 |
| Practice Fax Number | 3043458500 |
| Mailing Telephone | 3043891246 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | MR. ROBERT TANT (MEMBER/MANAGER) |
| Authorized Official Telephone | 3043891246 |
| Authorized Official Credential | ATP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891299681 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 418 Virginia St W, Charleston, WV 25302-2008 | 2018-03-19 |
| Street Address |
218 DINGESS ST |
| City | LOGAN |
| State | WV |
| Zip Code | 25601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184224909 | Pamela Gail Hamlin | Technician | 123 Cassick Street, Logan, WV 25601 | 2020-10-30 |
| 1134607344 | Allyson Christa Mckinney | Occupational Therapy Assistant | 55 Lmmh Center Road, Logan, WV 25601 | 2018-07-31 |
| 1841783727 | Erica Lupson | Nurse Practitioner | 3 Mile Curve, Logan, WV 25601 | 2018-06-14 |
| 1861930836 | Joseph Michael Mounts | Counselor | 312 Hudgins St, Logan, WV 25601 | 2017-02-09 |
| 1932647385 | Melissa Campbell | Occupational Therapy Assistant | Wv-10, Logan, WV 25601 | 2017-02-06 |
| 1356891659 | Brooke Bell | Pharmacist | Route 44 Holden Rd, Logan, WV 25601 | 2016-10-11 |
| 1760886469 | April Workman | Massage Therapist | 19 A Main Avenue, Logan, WV 25601 | 2014-10-09 |
| 1366889081 | Ashley Leann Dingess | Physical Therapy Assistant | 55 Logan Mingo Mental Health, Logan, WV 25601 | 2013-06-04 |
| 1528361466 | Health Care Management, LLC | Pharmacy | 369 George Kostas Drive, Logan, WV 25601 | 2010-12-15 |
| 1528396355 | West Virginia Heart & Vascular Institute Logan Inc | Nuclear Medicine | 83 Hospital Drive, Logan, WV 25601 | 2009-12-07 |
| Find all providers in zip 25601 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002339 | Hometown Health Investments Inc | Durable Medical Equipment & Medical Supplies | 351 Hanging Rock Hwy, Logan, WV 25601-5105 | 2018-11-19 |
| 1417473463 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 174 Lmah Center Rd Ste P-1, Logan, WV 25601-4058 | 2017-08-21 |
| 1326569617 | Logan Circle Health Supplies | Durable Medical Equipment & Medical Supplies | 331 George Kostas Dr Ste 302, Logan, WV 25601-3493 | 2017-06-28 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1558658948 | Access Home Medical, LLC | Durable Medical Equipment & Medical Supplies | 76 W 100 N, Logan, UT 84321-4506 | 2011-07-06 |
| 1114163250 | Superior Care Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 N 200 E Ste 230, Logan, UT 84341-7559 | 2008-12-19 |
| 1790964401 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 12875 Grey Street, Logan, OH 43138-9638 | 2007-10-30 |
| 1053444968 | Michael R Mullins II Inc | Durable Medical Equipment & Medical Supplies | 301 George Kostas Dr, Logan, WV 25601-3493 | 2007-03-13 |
| 1639272370 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1390 W Hunter St, Logan, OH 43138-1014 | 2006-09-07 |
| 1902915226 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 28 Main Avenue, Logan, WV 25601-3331 | 2006-08-30 |
| Find all providers in LOGAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.