Organization Active NPI

Holdaway Medical Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Bardstown, KY
National Provider Identifier
1104029024
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MG0600 Issued in KY
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

Updated by the provider on Aug 13, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.