MEDICARE: TUSCAN, 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	HMER 22453	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000124245200	OTHER	OH	US DEPARTMENT OF LABOR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000016667	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1568425023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUSCAN, INC

Provider Business Mailing Address
First Line	:	1019 TOWN DR
Second Line	:
City	:	HIGHLAND HEIGHTS
State	:	KY
Zip	:	41076-9114
Country	:	US
Telephone Number	:	859-441-8876
Fax Number	:	859-441-5850

Provider Business Practice Location Address
First Line	:	1450 HANES RD STE D
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45434-6583
Country	:	US
Telephone Number	:	937-438-6600
Fax Number	:	937-458-6300

Authorized Official
Title or Position	:	CEO
Name	:	GREGORY J CRAWFORD
Credential	:
Telephone Number	:	859-441-8876

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	02/06/2023

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Directions to “TUSCAN, INC ” Practice Location

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