Organization
COMPLETE MEDICAL HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI BULTMAN (GENERAL MANAGER)
(816) 621-2010
Entity
Organization
Contact information
Practice address
14309 W 95TH ST, LENEXA, KS 66215-5210
(800) 505-1625
(800) 624-1666
Mailing address
14309 W 95TH ST, LENEXA, KS 66215-5210
(800) 505-1625
(800) 624-1666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18288774
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445500A
—
KS
01
—
31805011
BCBS OF KANSAS CITY
—
01
—
470505
BCBS OF KANSAS
—
05
—
625925102
—
MO
Enumeration date
05/23/2005
Last updated
03/03/2015
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