Provider Demographics
NPI:1942690680
Name:JAMES MEDICAL EQUIPMENT, LTD
Entity Type:Organization
Organization Name:JAMES MEDICAL EQUIPMENT, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURY
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:207-465-8220
Mailing Address - Street 1:950 CAMPBELLSVILLE BYPASS
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 1:72 JOE T PETTY DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:RUSSELL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42642-8533
Practice Address - Country:US
Practice Address - Phone:270-866-2070
Practice Address - Fax:270-866-2071
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES MEDICAL EQUIPMENT, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-02-03
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYMG0110332B00000X
332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90171091Medicaid
KY90171091Medicaid