Provider Demographics
NPI:1891176368
Name:JAMES MEDICAL EQUIPMENT, LTD
Entity Type:Organization
Organization Name:JAMES MEDICAL EQUIPMENT, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURE
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILBY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:270-465-8220
Mailing Address - Street 1:950 CAMPBELLSVILLE BYP
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42718-7869
Mailing Address - Country:US
Mailing Address - Phone:270-465-8220
Mailing Address - Fax:270-789-1994
Practice Address - Street 1:127 FOOTHILLS AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:ALBANY
Practice Address - State:KY
Practice Address - Zip Code:42602-1090
Practice Address - Country:US
Practice Address - Phone:606-387-0351
Practice Address - Fax:606-387-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-10
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYMG0110332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90171091Medicaid
KY90171091Medicaid