Organization
BOOMERS MEDICAL EQUIPMENT, INC.
Active
Other names
Risch Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRADFORD (PRESIDENT)
(740) 653-7070
Entity
Organization
Contact information
Practice address
622 W FAIR AVE, LANCASTER, OH 43130-2371
(740) 653-7070
(740) 681-4158
Mailing address
622 W FAIR AVE, LANCASTER, OH 43130-2371
(740) 653-7070
(740) 681-4158
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
HMER.22044
OH
332BC3200X
Customized Equipment (DME)
HMER.22044
OH
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
HMER.22044
OH
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
02-0808450
OH
335E00000X
Prosthetic/Orthotic Supplier
HMER.22044
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0549295
—
OH
Enumeration date
08/20/2006
Last updated
10/06/2015
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