Promise Health Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROMISE HEALTH SERVICES LLC

Practice address

207 16TH St
Suite 404
Ashland, KY 41101-7909

Phone

(866) 439-3465

Fax

(866) 731-7460

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Derrick Gene Hammond

Title

Chief Executive Manager

Phone

(866) 439-3465

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1124247200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 16TH ST",
            "address_2": "SUITE 404",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017909",
            "telephone_number": "866-439-3465",
            "fax_number": "866-731-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 16TH ST",
            "address_2": "SUITE 404",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017909",
            "telephone_number": "866-439-3465",
            "fax_number": "866-731-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "866-439-3465"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100004560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Prichard
• Hunter Shane Prince, DMD
• Marc Shane Prince, DMD
• Rebecca Priode, APRN
• Professional Pathology Service
• Melody Danielle Prouse, AU.D.
• Lori Pruitt, CSA
• Edgar Pullis
• Emilio Punzal Jr., MD
• Katherine Purtee, CM

• Durable Medical Equipment & Medical Supplies in Ashland, KY
• Providers in Ashland, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.