MEDICARE: RESOURCE DME, 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	004-F-01	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	118037	OTHER	KS	BC/BS OF KANSAS PROVIDER

General Provider Information

NPI Number	:	1275645582
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOURCE DME, INC.

Provider Business Mailing Address
First Line	:	629 MARKET ST
Second Line	:	PO BOX 151
City	:	OSAGE CITY
State	:	KS
Zip	:	66523-1159
Country	:	US
Telephone Number	:	785-528-0144
Fax Number	:	785-528-0124

Provider Business Practice Location Address
First Line	:	629 MARKET ST
Second Line	:
City	:	OSAGE CITY
State	:	KS
Zip	:	66523-1159
Country	:	US
Telephone Number	:	785-528-0144
Fax Number	:	785-528-0124

Authorized Official
Title or Position	:	PRESIDENT, CFO
Name	:	MR. CHAD WILKINS
Credential	:
Telephone Number	:	785-528-3105

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/21/2022

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Directions to “RESOURCE DME, INC. ” Practice Location

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