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R BACON ENTERPRISES INC NPI 1144312133


NPI Information

NPI: 1144312133
Provider Name: R BACON ENTERPRISES INC

Doing Business As: FREEDOM MEDICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
2309 W FRANKLIN ST
EVANSVILLE, IN
ZIP 47712
Phone: (812) 421-9112
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R BACON ENTERPRISES INC is a durable medical equipment medical supplies in Evansville, IN. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. R BACON ENTERPRISES INC NPI is 1144312133. The provider is registered as an organization entity type.
The provider Is Doing Business As Freedom Medical.

The provider's business location address is:

2309 W FRANKLIN ST
EVANSVILLE, IN
ZIP 47712
Phone: (812) 421-9112
Fax: (812) 421-9132

The provider's authorized official is Karen A Bacon .
The authorized official title is Vice-president and has the following contact phone number (812) 897-1904.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 8/22/2020.


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 SuppliesFDA1835621INDIANAYes

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
10742058OTHERUMWA
21001753100MEDICAIDINDIANA
3000000335185OTHERANTHEM
490009473MEDICAIDKENTUCKY
5000000335186OTHERANTHEM
6286867OTHERHARMONY HEALTH PLAN
71023713OTHERACM

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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