Organization
HOME OXYGEN SERVICE, LLC
Active
Other names
BEMIS HOME OXYGEN
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEMIS (OWNER)
(308) 235-2900
Entity
Organization
Contact information
Practice address
125 S CHESTNUT ST, KIMBALL, NE 69145-1256
(308) 235-2900
(308) 235-2901
Mailing address
129 S CHESTNUT ST, KIMBALL, NE 69145-1256
(308) 235-2900
(308) 235-2901
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2896
NE
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
2896
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2817142
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/13/2006
Last updated
03/07/2016
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