Provider Demographics
NPI:1093386815
Name:JAMES MEDICAL EQUIPMENT, LTD
Entity Type:Organization
Organization Name:JAMES MEDICAL EQUIPMENT, LTD
Other - Org Name:JAMES MEDICAL EQUIPMENT LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:RESPIRATORY THERAPIS
Authorized Official - Phone:270-866-2070
Mailing Address - Street 1:PO BOX 1690
Mailing Address - Street 2:
Mailing Address - City:RUSSELL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42642-1690
Mailing Address - Country:US
Mailing Address - Phone:270-866-2070
Mailing Address - Fax:270-866-2171
Practice Address - Street 1:1010 FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103-1648
Practice Address - Country:US
Practice Address - Phone:270-904-8408
Practice Address - Fax:270-495-1377
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES MEDICAL EQUIPMENT, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-02
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY169707OtherKENTUCKY HME LICENSE