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Contact Information

BURKESVILLE MEDICAL SUPPLY, INC
365 KEEN ST
BURKESVILLE, KY42717-0006
 Phone: 270-864-2230
 Fax: 270-864-2691
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oxygen Equipment & Supplies

332BX2000X B1 Oxygen supplier
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for BURKESVILLE MEDICAL SUPPLY, INC

NPI Number 1417066424
LBN Legal business name BURKESVILLE MEDICAL SUPPLY, INC
Authorized official GARY WHITE - (OWNER CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/30/2006
Last updated 12/27/2022 - About 3 years ago
Identifiers
KY License # MG0187
KY Medicaid 7100164320
KY Medicaid 90040296
KY Other 000000070347 ANTHEM BC/BS
KY Other 006895400 BLACK LUNG
KY Other 7100165970 ESDPT
KY Other 45906005 ESPDT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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