MEDICARE: E-HEALTHCARE SOLUTIONS LLC

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	332BX2000X	Oxygen Equipment & Supplies (DME)	332BX2000X	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000217045	OTHER	KY	ANTHEM
2	1146146	OTHER	KY	PASSPORT HEALTH PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134110497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E-HEALTHCARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	4711 COMMERCE PASS STE A
Second Line	:
City	:	SELLERSBURG
State	:	IN
Zip	:	47172-1356
Country	:	US
Telephone Number	:	812-248-9744
Fax Number	:	812-248-9788

Provider Business Practice Location Address
First Line	:	4711 COMMERCE PASS STE A
Second Line	:
City	:	SELLERSBURG
State	:	IN
Zip	:	47172-1356
Country	:	US
Telephone Number	:	812-248-9744
Fax Number	:	812-248-9788

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES A HAGAN JR.
Credential	:
Telephone Number	:	812-248-9744

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	05/24/2021

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Directions to “E-HEALTHCARE SOLUTIONS LLC ” Practice Location

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