Organization
GOULD'S DISCOUNT MEDICAL LLC
Active
Parent organization
GOULD'S DISCOUNT MEDICAL LLC
Other names
Gould's Discount Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOULD'S DISCOUNT MEDICAL LLC
Authorized official
MR. STEPHEN GRIGGS (CEO)
(407) 206-0040
Entity
Organization
Contact information
Practice address
198 MOORE DR, SUITE 106, LEXINGTON, KY 40503-2944
(859) 721-1732
(859) 201-1296
Mailing address
220 W GERMANTOWN PIKE STE 250, PLYMOUTH MEETING, PA 19462-1437
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
169907
KY
332B00000X
Durable Medical Equipment & Medical Supplies
69001314A
IN
332BC3200X
Customized Equipment (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
MG0843
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0271240006
MEDICARE NSC
KY
05
—
7100291020
—
KY
Enumeration date
04/09/2013
Last updated
08/24/2021
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