Provider Demographics
NPI:1447298666
Name:JAMES MEDICAL EQUIPMENT, LTD.
Entity type:Organization
Organization Name:JAMES MEDICAL EQUIPMENT, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:HINKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-866-5768
Mailing Address - Street 1:PO BOX 1690
Mailing Address - Street 2:
Mailing Address - City:RUSSELL SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:42642-1690
Mailing Address - Country:US
Mailing Address - Phone:270-866-5768
Mailing Address - Fax:270-866-5751
Practice Address - Street 1:72 JOE T PETTY DR
Practice Address - Street 2:
Practice Address - City:RUSSELL SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:42642-8533
Practice Address - Country:US
Practice Address - Phone:270-866-2070
Practice Address - Fax:270-866-2071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY90171091Medicaid
KY0454330001Medicare ID - Type UnspecifiedCAMPBELLSVILLE