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Organization
PAX MEDICAL SUPPLY, INC.
Active
Organization
PAX MEDICAL SUPPLY, INC.
Active
Other names
Mapes Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J. KOKENGE (PRESIDENT)
(513) 791-6671
Entity
Organization
Contact information
Practice address
6910 SILVERTON AVE, CINCINNATI, OH 45236-3702
(513) 791-6671
(513) 791-0643
Mailing address
6910 SILVERTON AVE, CINCINNATI, OH 45236-3702
(513) 791-6671
(513) 791-0643
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
31900221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2658637
—
OH
Enumeration date
06/02/2006
Last updated
04/21/2011
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