Provider Demographics
NPI:1649400771
Name:COMMUNITY OXYGEN & MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:COMMUNITY OXYGEN & MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:DUVALL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:270-274-5050
Mailing Address - Street 1:PO BOX 25
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAM
Mailing Address - State:KY
Mailing Address - Zip Code:42320-0025
Mailing Address - Country:US
Mailing Address - Phone:270-274-5050
Mailing Address - Fax:270-274-4071
Practice Address - Street 1:112 W. 12TH ST.
Practice Address - Street 2:
Practice Address - City:BEAVER DAM
Practice Address - State:KY
Practice Address - Zip Code:42320-0025
Practice Address - Country:US
Practice Address - Phone:270-274-5050
Practice Address - Fax:270-274-4071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 332BP3500X, 335E00000X
KYMG0182332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier