Organization
PAX MEDICAL SUPPLY, INC.
Active
Other names
Mapes Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES J. KOKENGE (PRESIDENT)
(513) 791-6671
Entity
Organization
Contact information
Practice address
6910 SILVERTON AVE, CINCINNATI, OH 45236-3702
(513) 791-6671
(513) 791-0643
Mailing address
6910 SILVERTON AVE, CINCINNATI, OH 45236-3702
(513) 791-6671
(513) 791-0643
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
31900221
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2658637
—
OH
Enumeration date
06/02/2006
Last updated
04/21/2011
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