=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538871520
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | APOLLO SERVICES INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/21/2022
-----------------------------------------------------
Last Update Date | 12/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 109 N 6TH ST
-----------------------------------------------------
City | INDEPENDENCE
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67301-3705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-423-0274
-----------------------------------------------------
Fax | 620-423-8076
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 781
-----------------------------------------------------
City | PARSONS
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 67357-0781
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 620-423-0274
-----------------------------------------------------
Fax | 620-423-8076
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | CHARLES ARGO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 620-423-0274
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------