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Organization
BAN-NIX HOME MEDICAL EQUIPMENT, INC.
Active
Organization
BAN-NIX HOME MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL M NICKEL (PRESIDENT)
(808) 885-1925
Entity
Organization
Contact information
Practice address
64-1032 MAMALAHOA HWY, SUITE #306, KAMUELA, HI 96743-8441
(808) 885-1925
(808) 885-3681
Mailing address
PO BOX 6330, KAMUELA, HI 96743-6330
(808) 885-1925
(808) 885-3681
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
W20520452-01
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07908901
—
HI
01
—
20862-9
HMSA
HI
Enumeration date
08/31/2006
Last updated
06/01/2011
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