Organization
GOLDEN MEDICAL, INC.
Active
Other names
Golden Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEAN NONE BERNING (OWNER)
(620) 338-8286
Entity
Organization
Contact information
Practice address
2600 CENTRAL AVE, STE F, DODGE CITY, KS 67801-6211
(620) 338-8286
(620) 338-8287
Mailing address
2600 CENTRAL AVE, STE F, DODGE CITY, KS 67801-6211
(620) 338-8286
(620) 338-8287
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NOT REQUIRED
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
NOT REQUIRED
—
332BX2000X
Oxygen Equipment & Supplies (DME)
NOT REQUIRED
—
335E00000X
Prosthetic/Orthotic Supplier
BOC # C17759
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048572
BLUE CROSS/BLUE SHIELD
KS
Enumeration date
05/27/2005
Last updated
11/09/2007
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