Organization Active NPI

Pro-Med Home Medical Equipment, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Big Stone Gap, VA
National Provider Identifier
1386685097
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRO-MED HOME MEDICAL EQUIPMENT, INC.
Practice address
514 Wood Ave E
Big Stone Gap, VA 24219-3018
Phone
(276) 523-5500
Fax
(276) 523-5560
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Michael Kevin Dalton
Title
President / Owner
Phone
(276) 523-5500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Oxygen Equipment & Supplies (DME) 332BX2000X

Addresses

Primary practice location

514 Wood Ave E
Big Stone Gap, VA 24219-3018

Mailing address

PO Box 811
Big Stone Gap, VA 24219-0811
Phone (276) 523-5500

Other identifiers 4

IdentifierTypeStateIssuer
229456OtherVABLUE CROSS & BLUE SHIELD
400481OtherBLACK LUNG
VA0100OtherJOHN DEERE HEALTH CARE
90002221MedicaidKY

National Provider Directory

National Provider Directory

Locations

514 Wood Ave E
Big Stone Gap, VA 24219
Phone (276) 523-5500

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386685097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190811",
            "telephone_number": "276-523-5500",
            "fax_number": "276-523-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 WOOD AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193018",
            "telephone_number": "276-523-5500",
            "fax_number": "276-523-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-MED HOME MEDICAL EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "276-523-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "229456",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "400481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH CARE",
            "identifier": "VA0100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90002221",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.