MEDICARE: JAMES MEDICAL EQUIPMENT, LTD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003854175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES MEDICAL EQUIPMENT, LTD.

Provider Business Mailing Address
First Line	:	950 CAMPBELLSVILLE BYP
Second Line	:
City	:	CAMPBELLSVILLE
State	:	KY
Zip	:	42718-7869
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 JULIANNA CT
Second Line	:	SUITE 1
City	:	ELIZABETHTOWN
State	:	KY
Zip	:	42701-7937
Country	:	US
Telephone Number	:	270-735-9359
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JOHN P NELSON II
Credential	:
Telephone Number	:	270-465-8220

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	08/22/2020

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