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Contact Information

RUCKER HOLDINGS
210 GRAND CENTRAL BLVD
POOLER, GA31322
 Phone: 912-877-3202
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for RUCKER HOLDINGS

NPI # 1396202495
LBN Legal business name RUCKER HOLDINGS
Authorized official KRISTINA RUCKER - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/25/2019
Last updated 09/11/2020 - About 6 years ago
Identifiers
GA Medicaid 003139319A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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