Provider Demographics
NPI:1477671428
Name:BROWN & PAYNE HOME MEDICAL INC
Entity Type:Organization
Organization Name:BROWN & PAYNE HOME MEDICAL INC
Other - Org Name:MAYSVILLE MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROXANE
Authorized Official - Middle Name:B
Authorized Official - Last Name:PAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-564-0099
Mailing Address - Street 1:PO BOX 612
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056
Mailing Address - Country:US
Mailing Address - Phone:606-564-0099
Mailing Address - Fax:606-564-5003
Practice Address - Street 1:13 EAST 2ND STREET
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056
Practice Address - Country:US
Practice Address - Phone:606-564-0099
Practice Address - Fax:606-564-5003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY45001534OtherEPSDT
OH2317326Medicaid
KY9000468000Medicaid
OH2317326Medicaid