Healthcare Provider Details
I. General information
NPI: 1154369254
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: 03/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
749 N LAUREL RD
LONDON KY
40741-6025
US
IV. Provider business mailing address
950 CAMPBELLSVILLE BYP
CAMPBELLSVILLE KY
42718-7869
US
V. Phone/Fax
- Phone: 606-862-2611
- Fax:
- Phone: 270-465-8220
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
C
MILBY
Title or Position: TREASURER
Credential:
Phone: 270-465-8220