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NPI Code Detail

MEDICARE: COLUMBIA MEDICAL EQUIPMENT, INC.

MEDICARE: COLUMBIA MEDICAL EQUIPMENT, INC.
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
1332BC3200XCustomized Equipment (DME)MG0393KY
2332BD1200XDialysis Equipment & Supplies (DME)MG0393KY
3332BN1400XNursing Facility Supplies (DME)MG0393KY
4332BP3500XParenteral & Enteral Nutrition Supplies (DME)MG0393KY
5332B00000XDurable Medical Equipment & Medical SuppliesMG0393KY
6332BX2000XOxygen Equipment & Supplies (DME)MG0393KY

Other Identifiers

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

General Provider Information

NPI Number : 1619978137
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBIA MEDICAL EQUIPMENT, INC.
Provider Business Mailing Address
First Line : PO BOX 550
Second Line :
City : COLUMBIA
State : KY
Zip : 42728-0550
Country : US
Telephone Number : 270-384-5143
Fax Number : 270-384-2003
Provider Business Practice Location Address
First Line : 258 BURKESVILLE RD
Second Line :
City : ALBANY
State : KY
Zip : 42602-1604
Country : US
Telephone Number : 606-387-6994
Fax Number : 606-387-2060
Authorized Official
Title or Position : PRESIDENT
Name : MR. BARRY FROST
Credential :
Telephone Number : 270-384-5143
Provider Enumeration Date : 08/09/2005
Last Update Date : 06/26/2012

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