Healthcare Provider Details

I. General information

NPI: 1619978137
Provider Name (Legal Business Name): COLUMBIA MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 06/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 BURKESVILLE RD
ALBANY KY
42602-1604
US

IV. Provider business mailing address

PO BOX 550
COLUMBIA KY
42728-0550
US

V. Phone/Fax

Practice location:
  • Phone: 606-387-6994
  • Fax: 606-387-2060
Mailing address:
  • Phone: 270-384-5143
  • Fax: 270-384-2003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMG0393
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberMG0393
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License NumberMG0393
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License NumberMG0393
License Number StateKY
# 5
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License NumberMG0393
License Number StateKY
# 6
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberMG0393
License Number StateKY

VIII. Authorized Official

Name: MR. BARRY FROST
Title or Position: PRESIDENT
Credential:
Phone: 270-384-5143