# MERCYONE - KRHC HOME MEDICAL SHOP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750078200
- **Authorized official:** MARK TRAMMEL (CFO)
- **Authorized official phone:** (641) 428-7984

## Contact information

- **Practice address:** 1515 S PHILLIPS ST STE 1, ALGONA, IA 50511-3649
- **Practice address phone:** (515) 295-4452
- **Practice address fax:** (515) 295-4453
- **Mailing address:** PO BOX 1447, MASON CITY, IA 50402-1447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 04/24/2023
- **Last updated:** 04/24/2023