Organization
J. T. MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRELL WOOTON (GENERAL MANAGER/AO)
(606) 785-5531
Entity
Organization
Contact information
Practice address
820 SOUTH HWY 160, HINDMAN, KY 41822
(606) 785-5531
(606) 785-0223
Mailing address
PO BOX 76, MALLIE, KY 41836-0076
(606) 785-5531
(606) 785-0223
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90050360
—
KY
Enumeration date
06/06/2006
Last updated
03/06/2015
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