Healthcare Provider Details

I. General information

NPI: 1003854175
Provider Name (Legal Business Name): JAMES MEDICAL EQUIPMENT, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 JULIANNA CT SUITE 1
ELIZABETHTOWN KY
42701-7937
US

IV. Provider business mailing address

950 CAMPBELLSVILLE BYP
CAMPBELLSVILLE KY
42718-7869
US

V. Phone/Fax

Practice location:
  • Phone: 270-735-9359
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOHN P NELSON II
Title or Position: CEO
Credential:
Phone: 270-465-8220