Healthcare Provider Details

I. General information

NPI: 1457209157
Provider Name (Legal Business Name): CLOUD MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 N HIGHWAY 27
WHITLEY CITY KY
42653-4049
US

IV. Provider business mailing address

789 N HIGHWAY 27
WHITLEY CITY KY
42653-4049
US

V. Phone/Fax

Practice location:
  • Phone: 606-258-8600
  • Fax:
Mailing address:
  • Phone: 606-258-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: REBECCA LYNNE HINKE
Title or Position: OWNER
Credential:
Phone: 606-258-8600