Provider Demographics
NPI:1871044818
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:
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:
Practice Address - Street 1:408 NEWMAN DR
Practice Address - Street 2:
Practice Address - City:EDDYVILLE
Practice Address - State:KY
Practice Address - Zip Code:42038-7734
Practice Address - Country:US
Practice Address - Phone:270-388-4402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORR MEDICAL, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY170415332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies