Organization
EMBRY MEDICAL SUPPLY
Active
Parent organization
EMBRY WELDING SUPPLY, INC.
Other names
Embry Welding Supply, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EMBRY WELDING SUPPLY, INC.
Authorized official
JAMES M EMBRY (COOWNER)
(270) 879-9287
Entity
Organization
Contact information
Practice address
10 INDUSTRIAL DR, CANEYVILLE, KY 42721-9176
(270) 879-9287
(270) 879-3405
Mailing address
10 INDUSTRIAL DR, CANEYVILLE, KY 42721-9176
(270) 879-9287
(270) 879-3405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070263
BC
KY
01
—
1051288
PASSPORT
KY
01
—
2433002000
PASSPORT ADVANTAGE
KY
01
—
45901287
MEDICIAD EPSDT
KY
05
—
90010430
—
KY
Enumeration date
01/02/2008
Last updated
01/03/2008
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