BREATHITT COUNTY HOME MEDICAL LLC NPI 1942235981

NPI Information

NPI: 1942235981
Provider Name: BREATHITT COUNTY HOME MEDICAL LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

CLIA Number: 18D1073011

Address:
726 HIGHWAY 15 N STE 2
JACKSON, KY
ZIP 41339
Phone: (606) 693-0939
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BREATHITT COUNTY HOME MEDICAL LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Jackson, KY. BREATHITT COUNTY HOME MEDICAL LLC NPI is 1942235981. The provider is registered as an organization entity type.

The provider's business location address is:

726 HIGHWAY 15 N STE 2
JACKSON, KY
ZIP 41339
Phone: (606) 693-0939
Fax: (606) 693-0938

The provider's authorized official is Timothy Eugene Smith .
The authorized official title is Owner and has the following contact phone number (606) 693-0939.

The CLIA number assigned to this NPI record is 18D1073011 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 1/18/2019.

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	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies	MG0424	KENTUCKY	Yes

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

NPI Synchronization or Removal

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