Professional Medical Supply Llc

LBN: Professional Medical Supply Llc
Professional Medical Supply Llc is an health care organization with primary practice located at 342 Bogle St Ste 1, Somerset KY 42503-2851. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Professional Medical Supply Llc can be contacted via phone (606) 451-0216, or through Mullins, Freddy C via phone (606) 451-0216.

Contact Information

Primary practice address
342 Bogle St Ste 1 Somerset KY 42503-2851
Phone: (606) 451-0216
Fax: (606) 451-1959
Website:
Map and Directions
Authorized official contact:
Name: Mullins, Freddy C Registered Respiratory Therapist (RRT)
Phone: (606) 451-0216

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 182153 Kentucky

Profile Details

NPI number 1932106663
LBN Legal business name Professional Medical Supply Llc
DBA Doing business as
Authorized official Mullins, Freddy C Registered Respiratory Therapist (RRT)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Apr 10th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932106663 NPPES
Kentucky MEDICAID 90013822

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