Organization
COMMUNITY OXYGEN & MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J DUVALL RN (PRESIDENT OWNER)
(270) 754-3187
Entity
Organization
Contact information
Practice address
603 WEST EVERLY BROTHERS BLVD., CENTRAL CITY, KY 42330-0431
(270) 754-3187
(270) 754-3234
Mailing address
PO BOX 431, CENTRAL CITY, KY 42330-0431
(270) 754-3187
(270) 754-3234
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
MG0182
KY
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070158
BCBS PROVIDER NUMBER
KY
01
—
047309300
FEDERAL BLACK LUNG ID #
KY
01
—
1083675
PASSPORT PROVIDER NUMBER
KY
01
—
163570500
OWCP PROVIDER NUMBER
KY
01
—
45903549
EPSDT PROVIDER #
KY
01
—
50120
ABP PROVIDER NUMBER
KY
01
—
80766
NORTHWOOD NPN ID NUMBER
KY
05
—
90030891
—
KY
Enumeration date
11/28/2006
Last updated
07/15/2009
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