Healthcare Provider Details
I. General information
NPI: 1396748794
Provider Name (Legal Business Name): GLOBAL MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/31/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14309 W 95TH ST
LENEXA KS
66215-5210
US
IV. Provider business mailing address
14309 W 95TH ST
LENEXA KS
66215-5210
US
V. Phone/Fax
- Phone: 913-422-1666
- Fax: 913-422-8366
- Phone: 913-422-1666
- Fax: 913-422-8366
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 004-F-01 |
| License Number State | KS |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 2-09970 |
| License Number State | KS |
VIII. Authorized Official
Name: MR.
MARK
H
FRANZ
Title or Position: CFO
Credential: CPA
Phone: 913-422-1666