Healthcare Provider Details

I. General information

NPI: 1386861482
Provider Name (Legal Business Name): AHOY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1274 EDGINGTON AVE
ELDORA IA
50627-1739
US

IV. Provider business mailing address

PO BOX 126
ELDORA IA
50627-0126
US

V. Phone/Fax

Practice location:
  • Phone: 641-939-3091
  • Fax: 641-939-3334
Mailing address:
  • Phone: 641-939-3091
  • Fax: 641-939-3334

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number251
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MELODY HOY
Title or Position: PIC OWNER
Credential: RPH
Phone: 641-939-3091