Organization
ATCHISON HOME HEALTH EQUIPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE E HART JR (GENERAL MANAGER)
(913) 367-4099
Entity
Organization
Contact information
Practice address
708 COMMERCIAL ST, ATCHISON, KS 66002-2435
(913) 367-4099
(913) 367-2040
Mailing address
708 COMMERCIAL ST, ATCHISON, KS 66002-2435
(913) 367-4099
(913) 367-2040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012920
BC/BS KANSAS PROVIDER NUM
KS
05
—
100441890A
—
KS
Enumeration date
06/01/2005
Last updated
10/05/2017
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