Healthcare Provider Details

I. General information

NPI: 1447256219
Provider Name (Legal Business Name): UNIMED II, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 11/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 ADAMS STREET
KANSAS CITY KS
66103-1359
US

IV. Provider business mailing address

1310 ADAMS STREET
KANSAS CITY KS
66103-1359
US

V. Phone/Fax

Practice location:
  • Phone: 913-747-2400
  • Fax: 913-397-7243
Mailing address:
  • Phone: 913-747-2400
  • Fax: 913-397-7243

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number16-00430
License Number StateKS

VIII. Authorized Official

Name: MR. DONALD THOMAS
Title or Position: OWNER
Credential:
Phone: 913-747-2400