Organization Name: | HOLDAWAY MEDICAL SERVICES, LLC |
NPI Number: | 1104029024 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY WEST (CEO) |
Mailing Address: | 118 Patriot Drive Suite 101 Bardstown |
State: | KY US |
Postal Code: | 400049094 |
Phone Number: | 5023490402 |
Fax Number: | 5023490412 |
NPI Enumeration Date: | 06/07/2007 |
NPI Last Update Date: | 08/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | MG0600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |