MEDICARE: KING HOME MEDICAL EQUIPMENT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	82-32050	OTHER	MI	PHYSICIANS HEALTH PLAN
2	P59370	OTHER	MI	BLUE CARE NETWORK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1413106	OTHER	PA	BCBS OF PA
5	121437	OTHER	MI	GREAT LAKES HEALTH PLAN

General Provider Information

NPI Number	:	1154326189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KING HOME MEDICAL EQUIPMENT INC

Provider Business Mailing Address
First Line	:	1950 COLUMBIA AVE W
Second Line	:	STE A
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-2891
Country	:	US
Telephone Number	:	269-966-2000
Fax Number	:	269-966-9019

Provider Business Practice Location Address
First Line	:	1950 COLUMBIA AVE W
Second Line	:	STE A
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-2891
Country	:	US
Telephone Number	:	269-966-2000
Fax Number	:	269-966-9019

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES KING
Credential	:
Telephone Number	:	269-966-2000

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/22/2020

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Directions to “KING HOME MEDICAL EQUIPMENT INC ” Practice Location

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