Organization
SKYLINE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY NEIBERT DANIEL (OWNER)
(606) 789-7730
Entity
Organization
Contact information
Practice address
818 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-7730
Mailing address
PO BOX 249, THELMA, KY 41260-0249
(606) 789-7730
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
MG0500
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000360319
ANTHEM BCBS
KY
05
—
90240581
—
KY
Enumeration date
06/28/2005
Last updated
09/11/2025
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