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NPI Code Detail

MEDICARE: AMES STREET LTD.

MEDICARE: AMES STREET LTD.
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
1332BC3200XCustomized Equipment (DME)

General Provider Information

NPI Number : 1437311982
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMES STREET LTD.
Provider Business Mailing Address
First Line : 1547 SAINT CLAIR AVE NE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2003
Country : US
Telephone Number : 216-295-9170
Fax Number : 216-574-2860
Provider Business Practice Location Address
First Line : 1547 SAINT CLAIR AVE NE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2003
Country : US
Telephone Number : 216-295-9170
Fax Number : 216-574-2860
Authorized Official
Title or Position : PRESIDENT
Name : MR. RICHARD T ANDREWS III
Credential :
Telephone Number : 216-295-9170
Provider Enumeration Date : 06/26/2008
Last Update Date : 07/07/2008

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Directions to “AMES STREET LTD. ” Practice Location

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