K-A MEDICAL SERVICES INC (NPI# 1619061686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619061686 |
Entity Type | Organization |
Organization Name | K-A MEDICAL SERVICES INC |
Practice Address |
Rt 44 South Wilkinson Wilkinson WV 25653 |
Mailing Address |
Po Box 202 Stollings WV 25646-0202 |
Practice Telephone | 3047522115 |
Practice Fax Number | 3047525934 |
Mailing Telephone | 3047522115 |
Mailing Fax Number | 3047525934 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2008-04-20 |
Authorized Official Name | MS. CAROL ANN CRADDOCK (PRESIDENT/OWNER) |
Authorized Official Telephone | 3047522115 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
========= | WV | Suppliers |
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
========= | WV | Suppliers |
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | WV | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 6099002000 | 05 | |
WV | UMWA | 1461381 | 01 |
WV | BLUE CROSS BLUE SHEILD | 001705507 | 01 |
WV | DEPARTMENT OF LABOR | 040567600 | 01 |
Street Address |
RT 44 SOUTH WILKINSON |
City | WILKINSON |
State | WV |
Zip Code | 25653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518566348 | Diana Kay Fannin | Technician | 68 Silkwood Drive, Wilkinson, WV 25653 | 2020-10-22 |
1992318414 | Misti Dawn Elkins | Technician | 221 North Wind Hollow, Logan, WV 25653 | 2020-08-25 |
1972113934 | Elbert T Johnson Jr. | Technician | 34 Courtney Lane, Wilkinson, WV 25653 | 2020-08-05 |
1609429802 | Allison Balentine | Counselor | 15255 Us 43 #3, Russellville, AL 25653 | 2019-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821415498 | Asha Kintner | Speech-Language Pathologist | 5183 N 800 E, Wilkinson, IN 46186-9684 | 2014-03-21 |
1891816336 | Jennifer Ann Jordan | Licensed Practical Nurse | 6152 N Main St, Wilkinson, IN 46186-9640 | 2007-04-03 |
1497885206 | L. Autumn Fletcher | Day Training/Habilitation Specialist | 8911 E 650 N, Wilkinson, IN 46186-9758 | 2007-03-07 |
1093712978 | Condo & Son Inc. | Ambulance | 130 S Main St, Wilkinson, IN 46186-9636 | 2005-07-07 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720689805 | Appalachian Medical LLC | Durable Medical Equipment & Medical Supplies | 218 Dingess St, Logan, WV 25601 | 2020-11-04 |
1750909313 | Wecare Medical LLC | Durable Medical Equipment & Medical Supplies | 1227 Garfield Ave, Parkersburg, WV 26101-3206 | 2020-07-10 |
1053933028 | Oxy Pam II LLC | Durable Medical Equipment & Medical Supplies | 117 Lee St, Beckley, WV 25801-6037 | 2020-05-13 |
1437788304 | Locust Medical, LLC | Durable Medical Equipment & Medical Supplies | 213 Temple St, Hinton, WV 25951-2330 | 2020-04-03 |
1174156061 | Dasco-camc Home Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 2120 Pennsylvania Ave Ste 1, Charleston, WV 25302-4135 | 2020-02-19 |
1134780109 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 Chestnut Ridge Rd, Morgantown, WV 26505-2704 | 2019-06-21 |
1275002339 | Hometown Health Investments Inc | Durable Medical Equipment & Medical Supplies | 351 Hanging Rock Hwy, Logan, WV 25601-5105 | 2018-11-19 |
1841765310 | Frederick Foot and Ankle Specialists | Durable Medical Equipment & Medical Supplies | 123 Health Care Ln, Martinsburg, WV 25401-4008 | 2018-10-10 |
1306330311 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3375 Us Route 60 E Ste P, Huntington, WV 25705 | 2018-06-22 |
1154828671 | Raleigh General Hospital LLC | Durable Medical Equipment & Medical Supplies | 1717 Harper Rd Ste C, Beckley, WV 25801-3373 | 2018-04-11 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.