Organization
PRO-MED HOME MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KEVIN DALTON (PRESIDENT / OWNER)
(276) 523-5500
Entity
Organization
Contact information
Practice address
514 WOOD AVE E, BIG STONE GAP, VA 24219-3018
(276) 523-5500
(276) 523-5560
Mailing address
PO BOX 811, BIG STONE GAP, VA 24219-0811
(276) 523-5500
(276) 523-5560
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229456
BLUE CROSS & BLUE SHIELD
VA
01
—
400481
BLACK LUNG
—
05
—
90002221
—
KY
01
—
VA0100
JOHN DEERE HEALTH CARE
—
Enumeration date
06/10/2006
Last updated
09/11/2025
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