KENTUCKY MEDICAL SUPPLY, INC. (NPI# 1942205943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942205943 |
| Entity Type | Organization |
| Organization Name | KENTUCKY MEDICAL SUPPLY, INC. |
| Practice Address |
102 Castle Ridge Dr Edmonton KY 42129 |
| Mailing Address |
3325 Bartlett Blvd Orlando FL 32811-6428 |
| Practice Telephone | 2704320957 |
| Practice Fax Number | 2704320957 |
| Mailing Telephone | 4072060040 |
| Mailing Fax Number | 4072060010 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-06-15 |
| Authorized Official Name | MR. STEPHEN P GRIGGS (CEO/ PRESIDENT) |
| Authorized Official Telephone | 4072060040 |
| Is Organization Subpart | Y |
| Parent Organization Name | AEROCARE HOLDINGS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
KY | Allopathic & Osteopathic Physicians | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 177855 | KY | Suppliers |
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
175293 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 90100058 | 05 | |
| KY | BC PROVIDER ID NO. | 000000070314 | 01 |
| KY | CHA PROVIDER ID NO. | 7542 | 01 |
| KY | EPSDT PROVIDER ID NO. | 45907789 | 01 |
| Street Address |
102 CASTLE RIDGE DR |
| City | EDMONTON |
| State | KY |
| Zip Code | 42129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194162503 | Barren River District Health Department | Public Health or Welfare | 102 Ralph Edwards Rd, Edmonton, KY 42129 | 2013-05-24 |
| 1114257615 | Laura Dale Miller | Developmental Therapist | 111 Gail Dr, Edmonton, KY 42129 | 2010-01-05 |
| 1629240759 | Edmonton Primary Care Nursing Group | Nurse Practitioner | 903 West Stockton Street, Edmonton, KY 42129 | 2008-03-28 |
| 1861676421 | Metcalfe Health Services, Inc. | Clinic/Center | 770 Industrial Drive, Edmonton, KY 42129 | 2007-12-19 |
| 1639350200 | Barren River District Health Department | Public Health or Welfare | 615 West Stockton Street, Edmonton, KY 42129 | 2007-11-23 |
| 1336329044 | Metcalfe Co. Schools | Local Education Agency (LEA) | 1007 West Stockton Street, Edmonton, KY 42129 | 2007-11-09 |
| 1013058494 | Mikki S Page | Social Worker | 112 Sartin Dr., Edmonton, KY 42129 | 2007-02-09 |
| 1285771295 | Nancy Lee Barrett | Nurse Practitioner | 112 Sartin Dr, Edmonton, KY 42129 | 2007-01-31 |
| 1629148481 | John W Miller | Dentist | 108 Elmore Street, Edmonton, KY 42129 | 2006-11-09 |
| 1932298312 | James Michael Pasley | Counselor | Metcalfe County Service Center, 112 Sartin Dr, Edmonton, KY 42129 | 2006-10-12 |
| Find all providers in zip 42129 | ||||
| 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 | ||||
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| 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.