Provider Demographics
NPI:1154369254
Name:JAMES MEDICAL EQUIPMENT, LTD.
Entity type:Organization
Organization Name:JAMES MEDICAL EQUIPMENT, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:C
Authorized Official - Last Name:MILBY
Authorized Official - Suffix:
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:
Practice Address - Street 1:749 N LAUREL RD
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-6025
Practice Address - Country:US
Practice Address - Phone:606-862-2611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90012634Medicaid
KY90012634Medicaid