MEDICARE: COMMUNITY MEDICAL SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	332BC3200X	Customized Equipment (DME)	KY
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies	KY

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750389110
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	PO BOX 987
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-0987
Country	:	US
Telephone Number	:	270-384-0750
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 BURKESVILLE ST
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-1655
Country	:	US
Telephone Number	:	270-384-0750
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MS. SHARON STACEY WILSON
Credential	:
Telephone Number	:	270-384-0750

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	11/26/2013

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Directions to “COMMUNITY MEDICAL SERVICES INC ” Practice Location

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