Provider Demographics
NPI: | 1518338276 |
---|---|
Name: | ORR MEDICAL, LLC . |
Entity Type: | Organization |
Organization Name: | ORR MEDICAL, LLC . |
Other - Org Name: | ORR MEDICAL |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | OWNER/ PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | JASON |
Authorized Official - Middle Name: | ANDREW |
Authorized Official - Last Name: | ORR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 270-554-7311 |
Mailing Address - Street 1: | 3434 LOVELACEVILLE RD |
Mailing Address - Street 2: | |
Mailing Address - City: | PADUCAH |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 42001-5855 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 270-554-7311 |
Mailing Address - Fax: | 270-554-7084 |
Practice Address - Street 1: | 108 E WASHINGTON ST |
Practice Address - Street 2: | |
Practice Address - City: | PRINCETON |
Practice Address - State: | KY |
Practice Address - Zip Code: | 42445-2250 |
Practice Address - Country: | US |
Practice Address - Phone: | 270-365-3903 |
Practice Address - Fax: | 270-365-2024 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | ORR MEDICAL, LLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2015-10-07 |
Last Update Date: | 2023-10-09 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 332BX2000X | Suppliers | Durable Medical Equipment & Medical Supplies | Oxygen Equipment & Supplies |