SOUTHERN MEDICAL SUPPLY (NPI# 1457697146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457697146 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MEDICAL SUPPLY |
| Practice Address |
625 Kentucky 980 Scottsville KY 42164 |
| Mailing Address |
625 Veterans Memorial Hwy Scottsville KY 42164 |
| Practice Telephone | 2702393200 |
| Mailing Telephone | 2702393200 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | MR. JAY BLANKENSHIP (OWNER) |
| Authorized Official Telephone | 2706060663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
MG0842 | KY | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346306156 | Southern Medical Supply | Durable Medical Equipment & Medical Supplies | 1150 Perimeter Park Dr, Suite A, Cookeville, TN 38501-0927 | 2006-12-28 |
| 1114014347 | Southern Medical Supply | Durable Medical Equipment & Medical Supplies | 91 Crye Leike Dr, Fort Oglethorpe, GA 30742-4055 | 2006-10-09 |
| Street Address |
625 KENTUCKY 980 |
| City | SCOTTSVILLE |
| State | KY |
| Zip Code | 42164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407490790 | Jerry Moore Scott | Technician | 6184 Old Glasgow Rd, Scottsville, KY 42164 | 2019-10-30 |
| 1649336348 | Carpenter Dent Drugs Inc | Durable Medical Equipment & Medical Supplies | 1088 Veterans Memorial, Scottsville, KY 42164 | 2006-12-28 |
| 1548334105 | Ann Marie Davis | Dentist | 306 B North Court Street, Scottsville, KY 42164 | 2006-11-17 |
| 1194897959 | Angel Faye Duncan | Developmental Therapist | 147 Homestead Court, Scottsville, KY 42164 | 2006-11-15 |
| 1619517893 | Commonwealth Health Corporation, Inc. | Nurse Practitioner | 1545 Bowling Green Rd Rm 803, Bowling Green, KY 42164 | 2020-01-15 |
| 1760043129 | Paige Jordan Flora | Rehabilitation Counselor | 512 Bowling Green Rd, Scottsville, KY 42164 | 2019-06-26 |
| 1427292531 | Hilltop Family Dental Care, Psc | Dentist | 1046 Veterans Memorial Highway, Scottsville, KY 42164 | 2009-04-21 |
| 1700989217 | Bowling Green Warren County Community Hospital Corporation | General Acute Care Hospital | 456 Burnley Rd, Scottsville, KY 42164 | 2006-09-07 |
| 1063969582 | Heather Shepherd | Social Worker | 512 Bowling Green Rd, Scottsville, KY 42164-0512 | 2016-09-01 |
| 1962526947 | Paige Pride Marsh | Dentist | 1046 Veterans Memorial Highway, Scottsville, KY 42164-1120 | 2007-03-16 |
| Find all providers in zip 42164 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948002 | Alexandria Durable Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 8242 Alexandria Pike Ste 100, Alexandria, KY 41001-1162 | 2019-12-09 |
| 1467923011 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 1313 Lyndon Ln Ste 108, Louisville, KY 40222-7301 | 2018-12-07 |
| 1760964514 | Ephraim Mcdowell Regional Medical Center, Incorporated | Durable Medical Equipment & Medical Supplies | 470 Linden Ave Ste 1, Harrodsburg, KY 40330 | 2018-08-29 |
| 1730680307 | Max Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 207 E Madison St, Louisa, KY 41230-1402 | 2018-02-28 |
| 1871035501 | All American Oxygen, Inc | Durable Medical Equipment & Medical Supplies | 359 Skidmore Dr, Harlan, KY 40831-2544 | 2016-11-11 |
| 1285183707 | Greene Respiratory Services, Inc. | Durable Medical Equipment & Medical Supplies | 6301 Poplar Tree Ct, Louisville, KY 40228-1076 | 2016-09-26 |
| 1417321019 | Wecare Medical, LLC | Durable Medical Equipment & Medical Supplies | 2644 Richmond Rd, Lexington, KY 40509-1501 | 2015-11-19 |
| 1518338276 | Orr Medical, LLC . | Durable Medical Equipment & Medical Supplies | 408 Newman Dr, Eddyville, KY 42038-7734 | 2015-10-07 |
| 1477939387 | Genesis Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 832 Winchester Ave, Ashland, KY 41101-7445 | 2015-08-03 |
| 1396175709 | Wecare Medical Somerset, LLC | Durable Medical Equipment & Medical Supplies | 209 London Shopping Ctr, London, KY 40741-3016 | 2013-11-21 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSVILLE |
| Zip Code | 42164 |
Please comment or provide details below to improve the information on SOUTHERN MEDICAL SUPPLY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.