Organization
ENTERPRISE MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM A. WOODS (OWNER/PRESIDENT)
(270) 217-5199
Entity
Organization
Contact information
Practice address
1115 NORTH H. C. MATHIS DRIVE, PADUCAH, KY 42001-2340
(270) 443-9494
(270) 442-7812
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000070323
BLUE CROSS
KY
05
—
90001462
—
KY
Enumeration date
08/29/2006
Last updated
10/29/2010
Update your record
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