NPI Code Details Logo

NPI 1417956145

NPI 1417956145 : MEDICAL SERVICES OF AMERICA INC : PRESTONSBURG, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1417956145
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    MEDICAL SERVICES OF AMERICA INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/15/2005
-----------------------------------------------------
    Last Update Date     |    07/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1900 KY ROUTE 321 
-----------------------------------------------------
    City                 |    PRESTONSBURG
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    41653-9103
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    606-886-8306
-----------------------------------------------------
    Fax                  |    606-886-3064
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1928 
-----------------------------------------------------
    City                 |    LEXINGTON
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29071-1928
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    803-957-0500
-----------------------------------------------------
    Fax                  |    888-342-6190
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    COO/EXEC VP
-----------------------------------------------------
    Name                 |    MRS. CHRISTINA M JEFFCOAT 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    803-957-0500
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.