DEK HEALTH ALLIANCE LLC (NPI# 1669421624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669421624 |
| Entity Type | Organization |
| Organization Name | DEK HEALTH ALLIANCE LLC |
| Other Organization Name | APPALACHIAN MEDICAL |
| Practice Address |
127 Kingswood Dr Campbellsville KY 42718-9634 |
| Mailing Address |
Po Box 929 45 Newcomb Avenue Mount Vernon KY 40456-0929 |
| Practice Telephone | 2704691335 |
| Practice Fax Number | 2704691336 |
| Mailing Telephone | 6062564013 |
| Mailing Fax Number | 6062561242 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEBRA S KIDD (OWNER/PRESIDENT) |
| Authorized Official Telephone | 6062564013 |
| Authorized Official Credential | R.R.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
MG0543 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | DMERC SUBMITTER M/C EDI | CO8405418 | 01 |
| KY | 90007998 | 05 |
| Other Name | Type Code |
|---|---|
| appalachian medical | Doing Business As Name - Organization |
| Street Address |
127 KINGSWOOD DR |
| City | CAMPBELLSVILLE |
| State | KY |
| Zip Code | 42718-9634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670671 | Bobby Joe Brooks | Family Medicine | 127 Kingswood Dr, Campbellsville, KY 42718-9634 | 2005-06-23 |
| 1386816973 | Bobby J. Brooks, M.d. | Nurse Practitioner | 127 Kingswood Dr, Campbellsville, KY 42718-9634 | 2008-03-24 |
| 1619005535 | Bobby J. Brooks, M.d. | Nurse Practitioner | 127 Kingswood Dr, Campbellsville, KY 42718-9634 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619417763 | Heather Hastings | Dentist | 2065 Meadow Creek Rd, Campbellsville, KY 42718 | 2017-03-07 |
| 1487101804 | Amanda Rose Shepperd | Nurse Practitioner | 1846-1856 Old Lebanon Rd, Campbellsville, KY 42718 | 2016-09-01 |
| 1841660305 | Forefront Dermatology, S.c. | Dermatology | 105 Medical Park Dr Ste 1, Campbellsville, KY 42718 | 2015-09-28 |
| 1154790616 | Viktoria Krell | Counselor | 3020 Old Lebanon Road, Campbellsville, KY 42718 | 2015-09-15 |
| 1679977649 | Joy Trotter | Occupational Therapist | 121a Casey Street, Campbellsville, KY 42718 | 2014-10-20 |
| 1083022727 | Taylor Regional Medical Group, LLC | Physical Therapist | 73 Kingswood Dr Ste B, Campbellsville, KY 42718 | 2014-07-25 |
| 1235574831 | Rachael Maia Yates | Clinical Neuropsychologist | 50 Gene Cash Road, Campbellsville, KY 42718 | 2013-05-08 |
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1508900283 | Lake Cumberland District Health Department | Public Health or Welfare | 1880 N Bypass Road, Campbellsville, KY 42718 | 2007-02-16 |
| 1871639005 | Joseph William Segree | Optometrist | 725 Campbellsville Bypass, Campbellsville, KY 42718 | 2007-01-29 |
| Find all providers in zip 42718 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336577592 | Patient Aids Inc | Durable Medical Equipment & Medical Supplies | 1488 Old Lebanon Rd Ste C, Campbellsville, KY 42718-3375 | 2013-10-28 |
| 1447289327 | A Breath of Fresh Air Medical Equipment | Durable Medical Equipment & Medical Supplies | 6524b Old Lebanon Rd, Campbellsville, KY 42718-8033 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948002 | Alexandria Durable Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 8242 Alexandria Pike Ste 100, Alexandria, KY 41001-1162 | 2019-12-09 |
| 1467923011 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 1313 Lyndon Ln Ste 108, Louisville, KY 40222-7301 | 2018-12-07 |
| 1760964514 | Ephraim Mcdowell Regional Medical Center, Incorporated | Durable Medical Equipment & Medical Supplies | 470 Linden Ave Ste 1, Harrodsburg, KY 40330 | 2018-08-29 |
| 1730680307 | Max Medical Equipment, Inc. | Durable Medical Equipment & Medical Supplies | 207 E Madison St, Louisa, KY 41230-1402 | 2018-02-28 |
| 1871035501 | All American Oxygen, Inc | Durable Medical Equipment & Medical Supplies | 359 Skidmore Dr, Harlan, KY 40831-2544 | 2016-11-11 |
| 1285183707 | Greene Respiratory Services, Inc. | Durable Medical Equipment & Medical Supplies | 6301 Poplar Tree Ct, Louisville, KY 40228-1076 | 2016-09-26 |
| 1417321019 | Wecare Medical, LLC | Durable Medical Equipment & Medical Supplies | 2644 Richmond Rd, Lexington, KY 40509-1501 | 2015-11-19 |
| 1518338276 | Orr Medical, LLC . | Durable Medical Equipment & Medical Supplies | 408 Newman Dr, Eddyville, KY 42038-7734 | 2015-10-07 |
| 1477939387 | Genesis Respiratory Services Inc | Durable Medical Equipment & Medical Supplies | 832 Winchester Ave, Ashland, KY 41101-7445 | 2015-08-03 |
| 1396175709 | Wecare Medical Somerset, LLC | Durable Medical Equipment & Medical Supplies | 209 London Shopping Ctr, London, KY 40741-3016 | 2013-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CAMPBELLSVILLE |
| Zip Code | 42718 |
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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.