Organization
MONROE MEDICAL EQUIPMENT CO LLC
Active
Other names
Silverstaff Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY R SMITH (MEMBER)
(270) 407-5060
Entity
Organization
Contact information
Practice address
801 N MAIN ST, TOMPKINSVILLE, KY 42167-1002
(270) 407-5060
(270) 407-5063
Mailing address
801 N MAIN ST, TOMPKINSVILLE, KY 42167-1002
(270) 407-5060
(270) 407-5063
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
KY
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
273642
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000527862
BC PROVIDER NO.
—
05
—
4582525
—
TN
05
—
7100008320
—
KY
Enumeration date
02/28/2007
Last updated
03/19/2012
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