JORDAN MEDICAL LLC NPI 1134164759

NPI Information

NPI: 1134164759
Provider Name: JORDAN MEDICAL, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1075 HIGHWAY 11 NORTH
BEATTYVILLE, KY
ZIP 41311
Phone: (606) 464-9100
Get Directions

JORDAN MEDICAL, LLC is a durable medical equipment medical supplies in Beattyville, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. JORDAN MEDICAL, LLC NPI is 1134164759. The provider is registered as an organization entity type.

The provider's business location address is:

1075 HIGHWAY 11 NORTH
BEATTYVILLE, KY
ZIP 41311-719
Phone: (606) 464-9100
Fax: (606) 464-9191

The provider's authorized official is Rosemary C Smith .
The authorized official title is Member and has the following contact phone number (606) 464-3901.

The enumeration date for this NPI number is 6/18/2006 and was last updated on 6/18/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition			No
3	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			No
4	332B00000X	Durable Medical Equipment & Medical Supplies		MG0462	KENTUCKY	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	90012139	MEDICAID	KENTUCKY
2	5236950002	MEDICARE NSC	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »