=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831142348
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ADKIS MEDICAL INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/18/2006
-----------------------------------------------------
Last Update Date | 06/13/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4126 WAXWING TRL
-----------------------------------------------------
City | STOW
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44224-2573
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-688-3302
-----------------------------------------------------
Fax | 330-688-2223
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4126 WAXWING TRL
-----------------------------------------------------
City | STOW
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44224-2573
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-688-3302
-----------------------------------------------------
Fax | 330-688-2223
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. CHARLES ANDREW RIGBY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 330-688-3302
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------