MEDICARE: BELLKINS PAPS, LLC

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

General Provider Information

NPI Number	:	1255784310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLKINS PAPS, LLC

Provider Business Mailing Address
First Line	:	724 FRONT ST
Second Line	:	SUITE 525
City	:	EVANSTON
State	:	WY
Zip	:	82930-3589
Country	:	US
Telephone Number	:	307-789-2082
Fax Number	:	307-789-2029

Provider Business Practice Location Address
First Line	:	305 M ST
Second Line	:
City	:	ROCK SPRINGS
State	:	WY
Zip	:	82901-5330
Country	:	US
Telephone Number	:	307-362-6081
Fax Number	:	307-362-7002

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOSHUA ELKINS
Credential	:
Telephone Number	:	307-789-2082

Provider Enumeration Date	:	07/13/2016
Last Update Date	:	07/13/2016

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