MEDICARE: PEAK MEDICAL ASSOCIATES 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1588376511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK MEDICAL ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	6614 COUNTY ROAD 1
Second Line	:
City	:	SOUTH POINT
State	:	OH
Zip	:	45680-7811
Country	:	US
Telephone Number	:	304-638-3168
Fax Number	:

Provider Business Practice Location Address
First Line	:	6614 COUNTY ROAD 1
Second Line	:
City	:	SOUTH POINT
State	:	OH
Zip	:	45680-7811
Country	:	US
Telephone Number	:	304-638-3168
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHANNING EACHES
Credential	:
Telephone Number	:	304-972-4504

Provider Enumeration Date	:	12/21/2022
Last Update Date	:	12/21/2022

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Directions to “PEAK MEDICAL ASSOCIATES LLC ” Practice Location

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