Active NPI
Holdaway Medical Services, LLC
- Durable Medical Equipment & Medical Supplies
- Bardstown, KY
National Provider Identifier
1104029024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- MG0600
- Legal business name
- HOLDAWAY MEDICAL SERVICES, LLC
- Practice address
- 118 Patriot Drive
Suite 101
Bardstown, KY 40004-9094 - Phone
- (502) 349-0402
- Fax
- (502) 349-0412
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey West
- Title
- Ceo
- Phone
- (800) 397-0525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | MG0600 | KY | Primary |
Addresses
Primary practice location
118 Patriot Drive
Suite 101
Bardstown, KY 40004-9094
Mailing address
2500 Constant Comment PL
Louisville, KY 40299-6323
Phone (502) 266-0092
National Provider Directory
National Provider DirectoryLocations
118 Patriot Dr
Ste 101
Bardstown, KY 40004
Phone (502) 349-0402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250121600000",
"number": "1104029024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 CONSTANT COMMENT PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402996323",
"telephone_number": "502-266-0092",
"fax_number": "502-266-9736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 PATRIOT DRIVE",
"address_2": "SUITE 101",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400049094",
"telephone_number": "502-349-0402",
"fax_number": "502-349-0412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLDAWAY MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2009-08-13",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "800-397-0525"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "MG0600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.