Organization
ASHLAND COMMUNITY MEDICAL EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE ALAN DAVIS (PRESIDENT)
(606) 324-1101
Entity
Organization
Contact information
Practice address
2200 WINCHESTER AVE, ASHLAND, KY 41101-7832
(606) 324-1101
(606) 325-2629
Mailing address
2200 WINCHESTER AVE, ASHLAND, KY 41101-7832
(606) 324-1101
(606) 325-2629
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070189
ANTHEM
KY
05
—
0146778000
—
WV
05
—
0695056
—
OH
01
—
1030656
WV WORKERS COMPENSATION
WV
01
—
1366745
UNITED MINE WORKERS
KY
01
—
163623700
FEDERAL WORKERS COMPENSAT
KY
05
—
45900362
—
KY
01
—
479258
FEDERAL BLACK LUNG
KY
01
—
57649
NORTHWOOD BC BS
KY
01
—
7066
CHA HEALTH
KY
05
—
90020108
—
KY
Enumeration date
01/04/2007
Last updated
01/13/2009
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