=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194047613
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADVOCATE MEDICAL SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/25/2010
-----------------------------------------------------
Last Update Date | 08/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1510 GREENUP AVE
-----------------------------------------------------
City | ASHLAND
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41101-7614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-280-6541
-----------------------------------------------------
Fax | 606-433-9022
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1055 WESTGATE DRIVE SUITE 100
-----------------------------------------------------
City | ST PAUL
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-651-6223
-----------------------------------------------------
Fax | 866-896-7171
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | DARRELL DOUGLAS RAWLINGS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 612-895-7815
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------