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FIELDS MEDICAL SUPPLY, INC.

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Company Details

Name: FIELDS MEDICAL SUPPLY, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 09 Feb 1996 (29 years ago)
Organization Date: 09 Feb 1996 (29 years ago)
Last Annual Report: 11 Feb 2025 (4 months ago)
Organization Number: 0411713
Industry: Miscellaneous Retail
Number of Employees: Small (0-19)
ZIP code: 41224
City: Inez, Job, Threeforks
Primary County: Martin County
Principal Office: 2138 BLACKLOG ROAD, INEZ, KY 41224
Place of Formation: KENTUCKY
Authorized Shares: 100

Officer

Name Role
E.B. Lowman III Officer
J. Michael Delaney Officer

President

Name Role
James Blair III President

Vice President

Name Role
Lawrence Conn Vice President

Director

Name Role
E.B. Lowman III Director
James Blair III Director
J. Michael Delaney Director

Registered Agent

Name Role
LAWRENCE CONN Registered Agent

Incorporator

Name Role
MONICA FIELDS Incorporator

National Provider Identifier

NPI Number:
1154313914

Authorized Person:

Name:
MRS. BARBARA KIRK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
6062980724

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 169818 Home Medical Equipment and Services Provider Expired 2012-09-07 - - 2022-04-20 2138 Blacklog Rd, Inez, KY 41224

Filings

Name File Date
Annual Report 2025-02-11
Annual Report 2024-05-15
Annual Report 2023-03-15
Annual Report 2022-05-16
Annual Report 2021-05-19

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJBBSYHB140097
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
94.00
Base And Exercised Options Value:
94.00
Base And All Options Value:
94.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2008-04-01
Description:
COLOSTOMY BAGS
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
6515: MED & SURGICAL INSTRUMENTS,EQ & SUP
Procurement Instrument Identifier:
DJBBSYHB140016
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
86.00
Base And Exercised Options Value:
86.00
Base And All Options Value:
86.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2007-10-01
Description:
MEDICAL SUPPLIES
Naics Code:
423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product Or Service Code:
6515: MED & SURGICAL INSTRUMENTS,EQ & SUP

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Sources: Kentucky Secretary of State