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NPI Code Detail

MEDICARE: GRANT COUNTY MEDICAL EQUIPMENT,LLC

MEDICARE: GRANT COUNTY MEDICAL EQUIPMENT,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
1332BX2000XOxygen Equipment & Supplies (DME)
2332B00000XDurable Medical Equipment & Medical Supplies16-00101KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2118174OTHERKSBLUECROSS BLUESHIELD
3926718OTHERKSFIRST GUARD HEALTH PLAN

General Provider Information

NPI Number : 1730164120
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRANT COUNTY MEDICAL EQUIPMENT,LLC
Provider Business Mailing Address
First Line : 601 N MAIN ST STE B
Second Line :
City : GARDEN CITY
State : KS
Zip : 67846-5468
Country : US
Telephone Number : 620-272-2660
Fax Number : 620-272-2259
Provider Business Practice Location Address
First Line : 213 N MAIN ST
Second Line :
City : ULYSSES
State : KS
Zip : 67880-2130
Country : US
Telephone Number : 620-356-1373
Fax Number : 620-356-1474
Authorized Official
Title or Position : MANAGER
Name : BRIGITTE MARTINEZ
Credential :
Telephone Number : 620-272-2660
Provider Enumeration Date : 12/08/2005
Last Update Date : 11/09/2023

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Directions to “GRANT COUNTY MEDICAL EQUIPMENT,LLC ” Practice Location

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