Jordan Medical, Llc

LBN: Jordan Medical, Llc
Jordan Medical, Llc is an health care organization with primary practice located at 1075 Highway 11 North , Beattyville KY 41311-8719. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Jordan Medical, Llc can be contacted via phone (606) 464-9100, or through Smith, Rosemary C via phone (606) 464-3901.

Contact Information

Primary practice address
1075 Highway 11 North Beattyville KY 41311-8719
Phone: (606) 464-9100
Fax: (606) 464-9191
Website:
Map and Directions
Authorized official contact:
Name: Smith, Rosemary C R. PH.
Phone: (606) 464-3901

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X MG0462 Kentucky
Suppliers / Customized Equipment 332BC3200X
Suppliers / Parenteral & Enteral Nutrition 332BP3500X
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1134164759
LBN Legal business name Jordan Medical, Llc
DBA Doing business as
Authorized official Smith, Rosemary C R. PH.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jun 18th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134164759 NPPES
Kentucky MEDICAID 90012139

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