Healthcare Provider Details

I. General information

NPI: 1093020901
Provider Name (Legal Business Name): BARRYS MOBILITY AND EQUIPMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

426 7TH ST
HENDERSON KY
42420-2838
US

IV. Provider business mailing address

426 7TH ST
HENDERSON KY
42420-2838
US

V. Phone/Fax

Practice location:
  • Phone: 270-869-9197
  • Fax: 270-844-8045
Mailing address:
  • Phone: 270-869-9197
  • Fax: 270-844-8045

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 Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: TERRYE GOWER
Title or Position: OWNER
Credential:
Phone: 270-826-3957