Healthcare Provider Details

I. General information

NPI: 1891176368
Provider Name (Legal Business Name): JAMES MEDICAL EQUIPMENT, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 02/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 FOOTHILLS AVE SUITE 4
ALBANY KY
42602-1090
US

IV. Provider business mailing address

950 CAMPBELLSVILLE BYP
CAMPBELLSVILLE KY
42718-7869
US

V. Phone/Fax

Practice location:
  • Phone: 606-387-0351
  • Fax: 606-387-0300
Mailing address:
  • Phone: 270-465-8220
  • Fax: 270-789-1994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberMG0110
License Number StateKY

VIII. Authorized Official

Name: MR. WILLIAM C MILBY JR.
Title or Position: TREASURE
Credential:
Phone: 270-465-8220