ANCILLARY MANAGEMENT SOLUTIONS, INC.

Provider Demographics

• NPI: 1902844111
• Name: ANCILLARY MANAGEMENT SOLUTIONS, INC.
• Entity Type: Organization
• Organization Name: ANCILLARY MANAGEMENT SOLUTIONS, INC.
• Authorized Official - Title/Position: VP OF OPERATIONS
• Authorized Official - Prefix: MR
• Authorized Official - First Name: THEODORE
• Authorized Official - Middle Name: M
• Authorized Official - Last Name: HIRSCH
• Authorized Official - Phone: 615-771-8839
• Mailing Address - Street 1: 720 COOL SPRINGS BLVD
• Mailing Address - Street 2: SUITE 600
• Mailing Address - City: FRANKLIN
• Mailing Address - State: TN
• Mailing Address - Zip Code: 37067-2626
• Mailing Address - Country: US
• Mailing Address - Phone: 615-771-8839
• Mailing Address - Fax: 615-771-8849
• Practice Address - Street 1: 720 COOL SPRINGS BLVD
• Practice Address - Street 2: SUITE 600
• Practice Address - City: FRANKLIN
• Practice Address - State: TN
• Practice Address - Zip Code: 37067-2626
• Practice Address - Country: US
• Practice Address - Phone: 615-771-8839
• Practice Address - Fax: 615-771-8849
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-06-02
• Last Update Date: 2012-10-18

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	332BP3500X	Suppliers	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition
No	332BN1400X	Suppliers	Durable Medical Equipment & Medical Supplies	Nursing Facility Supplies

Provider Identifiers

State	Identifier ID	ID Type	Issuer
AZ	06856901	Medicaid
WY	117744300	Medicaid
NH	30766058	Medicaid
NY	02622159	Medicaid
AR	154418716	Medicaid
MD	694800600	Medicaid
TX	146352301	Medicaid
WA	9053562	Medicaid
MS	00125970	Medicaid
GA	00948714A	Medicaid
NJ	0122238	Medicaid
IA	0550822	Medicaid
LA	1144151	Medicaid
TN	1454149	Medicaid
MN	592473100	Medicaid
MO	626008304	Medicaid
ID	807103100	Medicaid
KY	90004458	Medicaid
RI	AM47665	Medicaid
CA	DME03057F	Medicaid
HI	57904701	Medicaid
VA	009110810	Medicaid
DE	1000016719	Medicaid
NM	51839725	Medicaid
CO	85853267	Medicaid
PA	0018694410001	Medicaid
VT	1011308	Medicaid
OK	200027110A	Medicaid
IN	200405600A	Medicaid
OH	2319413	Medicaid
WI	41743600	Medicaid
DC	034142500	Medicaid
OH	2319413	Medicaid
CO	85853267	Medicaid
RI	AM47665	Medicaid
UT	=========001	Medicaid