Provider Demographics
NPI:1881629483
Name:COOLEY MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:COOLEY MEDICAL EQUIPMENT, INC.
Other - Org Name:QUIPT HOME MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-441-8876
Mailing Address - Street 1:1019 TOWN DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND HEIGHTS
Mailing Address - State:KY
Mailing Address - Zip Code:41076-9114
Mailing Address - Country:US
Mailing Address - Phone:859-441-8876
Mailing Address - Fax:
Practice Address - Street 1:613 PARK AVE SW
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1925
Practice Address - Country:US
Practice Address - Phone:276-679-8350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY04021500OtherMEDICAL SUPPLY CO W/RESPI
KY6000116OtherMEDICAL SUPPLY CO W/RESPI
KY046021500OtherMEDICAL SUPPLY CO W/RESPI
KY611194985OtherMEDICAL SUPPLY CO W/RESPI
VA9110232Medicaid
VA0186310012Medicare NSC