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GOULD'S DISCOUNT MEDICAL LLC NPI 1477715100


NPI Information

NPI: 1477715100
Provider Name: GOULD'S DISCOUNT MEDICAL LLC

Doing Business As: GOULD'S DISCOUNT MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
7098 DISTRIBUTION DR STE E
LOUISVILLE, KY
ZIP 40258
Phone: (502) 935-1100
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GOULD'S DISCOUNT MEDICAL LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Louisville, KY. GOULD'S DISCOUNT MEDICAL LLC NPI is 1477715100. The provider is registered as an organization entity type.
The provider Is Doing Business As Gould's Discount Medical.

The provider's business location address is:

7098 DISTRIBUTION DR STE E
LOUISVILLE, KY
ZIP 40258-879
Phone: (502) 935-1100
Fax: (502) 371-0856

The provider's authorized official is Wendy Russalesi .
The authorized official title is Chief Compliance Officer and has the following contact phone number (484) 246-9499.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 11/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies169688KENTUCKYNo
2332B00000XDurable Medical Equipment & Medical Supplies69001017AINDIANANo
3332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
4335E00000XProsthetic/Orthotic SupplierNo
5332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesMG0683KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100229660MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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