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ST MARYS AT HOME INC NPI 1427201110


NPI Information

NPI: 1427201110
Provider Name: ST MARYS AT HOME, INC

Doing Business As: ST MARYS MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
3700 WASHINGTON AVE
EVANSVILLE, IN
ZIP 47750
Phone: (812) 485-4600
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ST MARYS AT HOME, INC is an oxygen equipment and supplies durable medical equipment medical supplies in Evansville, IN. ST MARYS AT HOME, INC NPI is 1427201110. The provider is registered as an organization entity type.
The provider Is Doing Business As St Marys Medical Equipment.

The provider's business location address is:

3700 WASHINGTON AVE
EVANSVILLE, IN
ZIP 47750-001
Phone: (812) 485-4600
Fax: (812) 485-6513

The provider's authorized official is Chris Brosmer .
The authorized official title is Manager and has the following contact phone number (812) 485-7228.

The enumeration date for this NPI number is 10/28/2008 and was last updated on 10/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies69000397AINDIANANo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition69000397AINDIANANo
3332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies69000397AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14227030001MEDICARE NSCINDIANA
2100247940AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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