Organization Active NPI

Community Oxygen & Medical Equipment, Inc

  • Durable Medical Equipment & Medical Supplies
  • Central City, KY
National Provider Identifier
1326114356
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMMUNITY OXYGEN & MEDICAL EQUIPMENT, INC
Practice address
603 West Everly Brothers Blvd.
Central City, KY 42330-0431
Phone
(270) 754-3187
Fax
(270) 754-3234
NPI assigned
Nov 28, 2006
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deborah J Duvall, RN
Title
President Owner
Phone
(270) 754-3187

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Oxygen Equipment & Supplies (DME) 332BX2000X MG0182 KY
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

603 West Everly Brothers Blvd.
Central City, KY 42330-0431

Mailing address

PO Box 431
Central City, KY 42330-0431
Phone (270) 754-3187

Other identifiers 8

IdentifierTypeStateIssuer
80766OtherKYNORTHWOOD NPN ID NUMBER
000000070158OtherKYBCBS PROVIDER NUMBER
1083675OtherKYPASSPORT PROVIDER NUMBER
047309300OtherKYFEDERAL BLACK LUNG ID #
90030891MedicaidKY
50120OtherKYABP PROVIDER NUMBER
163570500OtherKYOWCP PROVIDER NUMBER
45903549OtherKYEPSDT PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930089152 KY DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 3870610678 Practice locations: Central City, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Community Oxygen & Medical603 W Everly Brothers Blvd, Central City, KY 42330-1887(270) 754-3187 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Gastric Suction Pumps|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Infrared Heating Pads Systems and/or Suppli… Does not accept assignmentParticipating since Jan 1, 2010

National Provider Directory

National Provider Directory
Tax ID family
Community Oxygen Med Eq2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

603 W Everly Brothers Blvd
Central City, KY 42330
Phone (270) 754-3187

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1326114356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 431",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423300431",
            "telephone_number": "270-754-3187",
            "fax_number": "270-754-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 WEST EVERLY BROTHERS BLVD.",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423300431",
            "telephone_number": "270-754-3187",
            "fax_number": "270-754-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OXYGEN & MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "DUVALL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "270-754-3187",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "MG0182",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTHWOOD NPN ID NUMBER",
            "identifier": "80766",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "000000070158",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT PROVIDER NUMBER",
            "identifier": "1083675",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG ID #",
            "identifier": "047309300",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90030891",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABP PROVIDER NUMBER",
            "identifier": "50120",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP PROVIDER NUMBER",
            "identifier": "163570500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT PROVIDER #",
            "identifier": "45903549",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central City, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.