Provider Demographics
NPI:1598796104
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:PRES./CEO/ OWNER
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:25 YEARS EXPERIENCE
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 1:3434 LOVELACEVILLE RD
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42001-5855
Practice Address - Country:US
Practice Address - Phone:270-554-7311
Practice Address - Fax:270-554-7084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYMG0555332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90010893Medicaid
KY5368480001Medicare NSC