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	22092	OH

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	51746	OTHER	OH	ABP
3	1024315	OTHER	OH	ACM/UHC
4	000000075265	OTHER	OH	ANTHEM
5	8220146	OTHER	OH	UHC

General Provider Information

NPI Number	:	1538147285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMILTONS HEALTH AID SERVICES, INC

Provider Business Mailing Address
First Line	:	6000 WEBSTER ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414-3434
Country	:	US
Telephone Number	:	937-277-0088
Fax Number	:	937-277-0089

Provider Business Practice Location Address
First Line	:	6000 WEBSTER ST
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45414-3434
Country	:	US
Telephone Number	:	937-277-0088
Fax Number	:	937-277-0089

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. KATHLEEN M ROBERTS
Credential	:
Telephone Number	:	937-277-0088

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	08/17/2018

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