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 |
| NPI Number | 1417066424 |
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| 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 |
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