MEDICARE: HAMILTONS HEALTH AID SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7593	OTHER	IN	PHP
3	1024316	OTHER	IN	ACM/UHC
4	270117	OTHER	IN	HARMONY
5	000000216355	OTHER	IN	ANTHEM
6	51533	OTHER	IN	ABP
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114905882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMILTONS HEALTH AID SERVICES, INC.

Provider Business Mailing Address
First Line	:	142 E COLLINS RD
Second Line	:
City	:	FT WAYNE
State	:	IN
Zip	:	46825-5302
Country	:	US
Telephone Number	:	260-471-5011
Fax Number	:	260-471-5109

Provider Business Practice Location Address
First Line	:	142 E COLLINS RD
Second Line	:
City	:	FT WAYNE
State	:	IN
Zip	:	46825-5302
Country	:	US
Telephone Number	:	260-471-5011
Fax Number	:	260-471-5109

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. KATHLEEN M ROBERTS
Credential	:
Telephone Number	:	513-923-3300

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	04/20/2008

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