Freedom Medical Boonville Medical
LBN: R Bacon Enterprises Inc
Freedom Medical Boonville Medical is an health care organization with primary practice located at 966 N Baker Rd , Boonville IN 47601-9509. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty.
R Bacon Enterprises Inc can be contacted via phone (812) 897-1904, or through Bacon, Karen A via phone (812) 897-1904.
Contact Information
Primary practice address
966 N Baker Rd
Boonville IN 47601-9509
Phone: (812) 897-1904
Fax: (812) 897-0620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | FDA1835621 | Indiana |
Profile Details
| NPI number | 1922071984 |
|---|---|
| LBN Legal business name | R Bacon Enterprises Inc |
| DBA Doing business as | Freedom Medical Boonville Medical |
| Authorized official | Bacon, Karen A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 9th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922071984 | NPPES |
| Other | 000000193499 | ANTHEM | |
| Other | 000000335186 | ANTHEM | |
| Other | 286867 | ANTHEM | |
| Other | 000000107530 | ANTHEM | |
| Other | 8200169 | ANTHEM | |
| Other | 000000097303 | ANTHEM | |
| Other | 000000193509 | ANTHEM | |
| Other | 0742058 | ANTHEM | |
| Other | 1023713 | ANTHEM | |
| Other | 000000335185 | ANTHEM | |
| MEDICAID | 90009473 | ANTHEM |
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