| Fields Medical Supply, Inc. | |
|
2138 Blacklog Road Inez KY 41224-0000 | |
| (606) 298-3674 | |
| (606) 298-0724 |
| Full Name | Fields Medical Supply, Inc. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 2138 Blacklog Road, Inez, Kentucky |
| Authorized Official Name and Position | Barbara Kirk (OWNER) |
| Authorized Official Contact | 6062983674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fields Medical Supply, Inc. 2138 Blacklog Road Inez KY 41224-0000 Ph: (606) 298-3674 | Fields Medical Supply, Inc. 2138 Blacklog Road Inez KY 41224-0000 Ph: (606) 298-3674 |
| NPI Number | 1154313914 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 07/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154313914 | NPI | - | NPPES |
| 8855106000 | Medicaid | WV | |
| 45907813 | Other | KY | EPSDT |
| 90100801 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 083898 (Kentucky) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 083898 (Kentucky) | Primary |
Ovp Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3165 Blacklog Rd Ste B, Inez, KY 41224 Phone: 606-534-3435 Fax: 606-534-3436 |