Organization
DOVE MEDICAL EQUIPMENT, INC
Active
Parent organization
1033163068
Organization subpart
Yes
Provider details
NPI number
Legal business name
1033163068
Authorized official
MR. JESSE C CAWOOD CRT (MANAGER)
(606) 364-7575
Entity
Organization
Contact information
Practice address
3924 HWY 30 WEST, ANNVILLE, KY 40402-8725
(606) 364-7575
Mailing address
510 S MAIN ST, LONDON, KY 40741-1943
(606) 364-7575
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000075258
BLUE CROSS AND BLUE SHIELD
KY
05
—
7100020540
—
KY
Enumeration date
12/14/2006
Last updated
01/07/2011
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