Organization
DOVE MEDICAL EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CECIL R BAKER (OWNER PRESIDENT)
(606) 864-7144
Entity
Organization
Contact information
Practice address
510 SOUTH MAIN STREET, LONDON, KY 40741
(606) 864-7144
(606) 877-6505
Mailing address
510 SOUTH MAIN STREET, LONDON, KY 40741
(606) 864-7144
(606) 877-6505
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075258
BCBS
KY
01
—
00400202
US DEPARTMENT OF LABOR
—
01
—
45000049
MEDICAID SPECIAL SERVICES
KY
05
—
90000019
—
KY
Enumeration date
05/22/2006
Last updated
12/03/2008
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