Healthcare Provider Details

I. General information

NPI: 1427250190
Provider Name (Legal Business Name): JAMES MEDICAL EQUIPMENT LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 12/01/2022
Certification Date: 12/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 W LEXINGTON AVE
WINCHESTER KY
40391-1258
US

IV. Provider business mailing address

950 CAMPBELLSVILLE BYP
CAMPBELLSVILLE KY
42718-7869
US

V. Phone/Fax

Practice location:
  • Phone: 859-744-7800
  • Fax: 859-744-7884
Mailing address:
  • Phone: 270-465-8220
  • Fax: 270-789-1994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
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 Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

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