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NPI Code Detail

MEDICARE: BOONE HEALTH SUPPLIES

MEDICARE: BOONE HEALTH SUPPLIES
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1558884544
Entity Type Code : Organization
Provider Name (Legal Business Name) : BOONE HEALTH SUPPLIES
Provider Business Mailing Address
First Line : 303 N STADIUM BLVD FL 2
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-1493
Country : US
Telephone Number : 816-295-7044
Fax Number :
Provider Business Practice Location Address
First Line : 303 N STADIUM BLVD FL 2
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-1493
Country : US
Telephone Number : 816-295-7044
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MUHAMMAD YASIN
Credential :
Telephone Number : 816-295-7044
Provider Enumeration Date : 07/20/2017
Last Update Date : 07/21/2022

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Directions to “BOONE HEALTH SUPPLIES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.