Healthcare Provider Details

I. General information

NPI: 1346625878
Provider Name (Legal Business Name): BINSON'S MEDICAL EQUIPMENT AND SUPPLIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 08/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 WATERFALL DR SUITE B
ELKHART IN
46516-3668
US

IV. Provider business mailing address

26834 LAWRENCE
CENTER LINE MI
48015-1262
US

V. Phone/Fax

Practice location:
  • Phone: 574-343-2075
  • Fax: 574-343-2361
Mailing address:
  • Phone: 586-755-2300
  • Fax: 586-755-2322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES BINSON
Title or Position: PRESIDENT
Credential:
Phone: 586-755-2300