Organization Name: | GOULDS DISCOUNT MEDICAL INC |
NPI Number: | 1235438284 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID R GOULD (SECRETARY-VP-OWNER) |
Mailing Address: | 118 Patriot Dr Ste 101 Bardstown |
State: | KY US |
Postal Code: | 40004 |
Phone Number: | 5024912000 |
Fax Number: | 5027360848 |
NPI Enumeration Date: | 03/16/2011 |
NPI Last Update Date: | 01/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | HME00198 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |