Provider Demographics
NPI:1023393139
Name:JAMED MEDICAL EQUIPMENT, LTD
Entity Type:Organization
Organization Name:JAMED MEDICAL EQUIPMENT, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-465-8220
Mailing Address - Street 1:950 CAMPBELLSVILLE BYP
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-7869
Mailing Address - Country:US
Mailing Address - Phone:270-465-8220
Mailing Address - Fax:270-789-1994
Practice Address - Street 1:11569 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MATIN
Practice Address - State:KY
Practice Address - Zip Code:42649-7813
Practice Address - Country:US
Practice Address - Phone:606-285-1112
Practice Address - Fax:606-285-1114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES MEDICAL EQUIPMENT, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-20
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYMG0110332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90171091Medicaid
KY90171091Medicaid