Healthcare Provider Details

I. General information

NPI: 1124066212
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: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 LIBERTY SQ
LIBERTY KY
42539-3392
US

IV. Provider business mailing address

950 CAMPBELLSVILLE BYPASS
CAMPBELLSVILLE KY
42718-7869
US

V. Phone/Fax

Practice location:
  • Phone: 606-787-5061
  • Fax: 606-787-5063
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 Number
License Number State

VIII. Authorized Official

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