Organization
COMMUNITY MEDICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON STACEY WILSON (OWNER/PRESIDENT)
(270) 384-0750
Entity
Organization
Contact information
Practice address
801 BURKESVILLE ST, COLUMBIA, KY 42728-1655
(270) 384-0750
Mailing address
PO BOX 987, COLUMBIA, KY 42728-0987
(270) 384-0750
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KY
332BC3200X
Customized Equipment (DME)
—
KY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100215560
—
KY
05
—
7100258540
—
KY
Enumeration date
07/11/2005
Last updated
11/26/2013
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