MEDICARE: LOVEJOY MEDICAL INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332BX2000X	Oxygen Equipment & Supplies (DME)
2	335E00000X	Prosthetic/Orthotic Supplier
3	332BC3200X	Customized Equipment (DME)
4	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
5	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	:	1023098795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVEJOY MEDICAL INC

Provider Business Mailing Address
First Line	:	PO BOX 27968
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84127-0968
Country	:	US
Telephone Number	:	765-448-6685
Fax Number	:	765-446-4287

Provider Business Practice Location Address
First Line	:	1707 CUMBERLAND FALLS HWY
Second Line	:	UNIT 8
City	:	CORBIN
State	:	KY
Zip	:	40701-2743
Country	:	US
Telephone Number	:	606-523-9777
Fax Number	:	606-523-9543

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	ROBIN L MENCHEN
Credential	:
Telephone Number	:	407-822-4600

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	04/01/2024

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Directions to “LOVEJOY MEDICAL INC ” Practice Location

Language	Start Address	Practice Location

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