Organization
ALICK'S HOME MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAFE STEVEN ALICK (PRESIDENT)
(574) 273-6000
Entity
Organization
Contact information
Practice address
17187 STATE ROAD 23, SOUTH BEND, IN 46635-1521
(574) 273-6000
(574) 247-8199
Mailing address
17187 STATE ROAD 23, SOUTH BEND, IN 46635-1521
(574) 273-6000
(574) 247-8199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
IN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
IN
332BX2000X
Oxygen Equipment & Supplies (DME)
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000303785
ANTHEM BCBS
IN
01
—
7542
PHYSICIAN'S HEALTH PLAN
IN
Enumeration date
01/16/2006
Last updated
02/14/2008
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