Provider Demographics
NPI:1639687619
Name:GOULD'S DISCOUNT MEDICAL INC.
Entity Type:Organization
Organization Name:GOULD'S DISCOUNT MEDICAL INC.
Other - Org Name:GOULD'S DISCOUNT MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT - OWNER - DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:L
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-491-2000
Mailing Address - Street 1:3901 DUTCHMANS LN STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4726
Mailing Address - Country:US
Mailing Address - Phone:502-491-2000
Mailing Address - Fax:502-495-2476
Practice Address - Street 1:6802 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-3914
Practice Address - Country:US
Practice Address - Phone:502-935-1100
Practice Address - Fax:502-495-2476
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOULD'S DISCOUNT MEDICAL INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY101422332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY101422OtherMALA S. FELDMAN - HEARING INSTRUMENTS SPECILAIST
KY101422OtherHEARING INSTRUMENTS SPECILAIST