Organization
SKYLINE MEDICAL EQUIPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA NELSON (ADMIN)
(606) 789-7730
Entity
Organization
Contact information
Practice address
818 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-7730
(606) 789-1028
Mailing address
818 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-7730
(606) 789-1028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542106
ANTHEM BCBS
KY
05
—
7100026940
—
KY
Enumeration date
09/06/2007
Last updated
12/17/2025
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