MEDICARE: APPALACHIAN MEDICAL 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	:	1720689805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APPALACHIAN MEDICAL LLC

Provider Business Mailing Address
First Line	:	1025 MAIN ST
Second Line	:
City	:	MILTON
State	:	WV
Zip	:	25541-1215
Country	:	US
Telephone Number	:	304-389-1246
Fax Number	:

Provider Business Practice Location Address
First Line	:	369 GEORGE KOSTAS DR STE 1
Second Line	:
City	:	LOGAN
State	:	WV
Zip	:	25601-3493
Country	:	US
Telephone Number	:	304-345-8501
Fax Number	:	304-345-8500

Authorized Official
Title or Position	:	MEMBER
Name	:	MARY ARIETTA WISEMAN
Credential	:
Telephone Number	:	304-345-8501

Provider Enumeration Date	:	11/04/2020
Last Update Date	:	05/01/2025

Similar Medicare Providers

1881545697 — TAMMY GERALDINE ADAMS
Practice Location Address:

331 GEORGE KOSTAS DR STE 131
LOGAN, WV
25601-3493

Practice Phone: 304-785-7696
Practice Fax:

1053444968 — MICHAEL R MULLINS II INC
Practice Location Address:

301 GEORGE KOSTAS DR
LOGAN, WV
25601-3493

Practice Phone: 304-752-1450
Practice Fax: 304-752-4390

1619234267 — MATTHEW KITCHEN
Practice Location Address:

369 GEORGE KOSTAS DR , SUITE 1
LOGAN, WV
25601-3493

Practice Phone: 304-962-6117
Practice Fax:

1326569617 — LOGAN CIRCLE HEALTH SUPPLIES
Practice Location Address:

331 GEORGE KOSTAS DR STE 302
LOGAN, WV
25601-3493

Practice Phone: 202-798-5919
Practice Fax:

1831049394 — MARIAH MOLLETT
Practice Location Address:

369 HANGING ROCK HWY
LOGAN, WV
25601

Practice Phone: 304-752-0082
Practice Fax:

1457355489 — FAMILY DISCOUNT PHARMACY OF STOLLINGS, INC
Practice Location Address:

153 STOLLINGS AVE
LOGAN, WV
25601-4010

Practice Phone: 304-752-0082
Practice Fax: 304-752-9600

Directions to “APPALACHIAN MEDICAL LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.