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New Moon Medical, Inc
Parenteral & Enteral Nutrition Supplies (DME) in Winchester, Kentucky
NPI 1093879009

New Moon Medical, Inc is a Parenteral & Enteral Nutrition Supplies (DME) based in Winchester, KY and is specialized in Parenteral & Enteral Nutrition. New Moon Medical, Inc practices in Winchester, KY. The NPI Number for New Moon Medical, Inc is 1093879009 and holds a License No. 184257 (Kentucky).

The current practice location address for New Moon Medical, Inc is 1210 W Lexington Ave, Winchester, KY and can be reached out via phone at 859-737-5154 and via fax at 877-737-1881.

Location: 1210 W Lexington Ave, Winchester, KY, 40392-0331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093879009
Provider Name
New Moon Medical, Inc
Credential
Provider Entity Type
Organization
Address
1210 W Lexington Ave, Winchester, KY, 40392-0331
Phone Number
859-737-5154
Fax Number
877-737-1881
Provider Enumeration Date
12/21/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1865915 01 KY HIGHMARK BLUE SHIELD
393322 01 KY ANTHEM PROVIDER #
90012758 05 KY
7436866 01 KY AETNA PIN #
D 5624460001 01 KY UNITED AMERICAN INSURANCE
institution
Provider Business Practice Location Address Details
Address
1210 W Lexington Ave
City
Winchester
State
Kentucky
Zip
40391-1127
Phone Number
859-737-5154
Fax Number
877-737-1881
person
Provider Business Mailing Address Details
Address
1210 W Lexington Ave
City
Winchester
State
Kentucky
Zip
40391-1127
Phone Number
859-737-5154
Fax Number
877-737-1881
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
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Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
184257 (Kentucky)
Definition
Definition to come...
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