Provider Demographics
NPI:1578894341
Name:EXPRESS DME
Entity Type:Organization
Organization Name:EXPRESS DME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:REED
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:606-644-0048
Mailing Address - Street 1:PO BOX 784
Mailing Address - Street 2:
Mailing Address - City:FLATWOODS
Mailing Address - State:KY
Mailing Address - Zip Code:41139-1830
Mailing Address - Country:US
Mailing Address - Phone:606-644-0048
Mailing Address - Fax:
Practice Address - Street 1:101 ASHLAND DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7001
Practice Address - Country:US
Practice Address - Phone:606-644-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies