Healthcare Provider Details

I. General information

NPI: 1326114356
Provider Name (Legal Business Name): COMMUNITY OXYGEN & MEDICAL EQUIPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 WEST EVERLY BROTHERS BLVD.
CENTRAL CITY KY
42330-0431
US

IV. Provider business mailing address

PO BOX 431
CENTRAL CITY KY
42330-0431
US

V. Phone/Fax

Practice location:
  • Phone: 270-754-3187
  • Fax: 270-754-3234
Mailing address:
  • Phone: 270-754-3187
  • Fax: 270-754-3234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License NumberMG0182
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH J DUVALL
Title or Position: PRESIDENT OWNER
Credential: RN
Phone: 270-754-3187