Licking Memorial Professional Corporation
Durable Medical Equipment & Medical Supplies
1717 W Main St, Suite 201, Newark
Ohio, 43055-1347
220-564-2900 220-564-2901
Licking Memorial Professional Corporation is a Durable Medical Equipment & Medical Supplies in Newark, Ohio. This organization is also known as sub part of Licking Memorial Professional Corporation. It is located at 1717 W Main St, Suite 201, Newark and it's customer support contact number is 220-564-2900. The authorized person of Licking Memorial Professional Corporation is Cynthia L. Webster who is Vp Financial Services of this DME and his contact number is 220-564-4000. Licking Memorial Professional Corporation accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Licking Memorial Professional Corporation is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Licking Memorial Professional Corporation type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Licking Memorial Professional Corporation |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 1717 W Main St, Suite 201, Newark,
Ohio, 43055-1347 |
| Phone: | 220-564-2900 |
| Fax: | 220-564-2901 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Cynthia L. Webster |
| Position: | Vp Financial Services |
| Contact Number: | 220-564-4000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1326436510 |
| Parent Organization: | Licking Memorial Professional Corporation |
| NPI Enumeration Date: | 23 Dec, 2014 |
| NPI Last Update On: | 12 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Licking Memorial Professional Corporation are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
Medicare Enrollment:
Licking Memorial Professional Corporation is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6204740731 | O20150819009534 | Licking Memorial Professional Corporation | DME SUPPLIER - PHYSICIAN - ORTHOPEDIC/ORTHOPEDIC SURGERY |
Products Available:
Licking Memorial Professional Corporation has following products available for sale under medicare.
| Products: |
|---|
| • Prosthetic Lenses: Conventional Contact Lenses | • Prosthetic Lenses: Conventional Eyeglasses |
| • Prosthetic Lenses: Prosthetic Cataract Lenses | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1717 W Main St, Suite 201
Newark, Ohio |
| Zip: | 43055-1347 |
| Phone Number: | 220-564-2900 |
| Fax Number: | 220-564-2901 |
Patients can reach Licking Memorial Professional Corporation at
1717 W Main St, Suite 201, Newark, Ohio or can
call on customer care at 220-564-2900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.