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NPI Code Detail

MEDICARE: BIO-MEDICAL APPLICATIONS OF INDIANA, INC.

MEDICARE: BIO-MEDICAL APPLICATIONS OF INDIANA, 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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1730559857
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIO-MEDICAL APPLICATIONS OF INDIANA, INC.
Provider Business Mailing Address
First Line : 300 N 1ST ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1252
Country : US
Telephone Number : 812-885-0585
Fax Number : 812-885-2190
Provider Business Practice Location Address
First Line : 300 N 1ST ST
Second Line :
City : VINCENNES
State : IN
Zip : 47591-1252
Country : US
Telephone Number : 812-885-0858
Fax Number : 812-885-2190
Authorized Official
Title or Position : SENIOR VP AND TREASURER
Name : MARK R FAWCETT
Credential :
Telephone Number : 781-699-9000
Provider Enumeration Date : 10/01/2015
Last Update Date : 01/13/2016

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Directions to “BIO-MEDICAL APPLICATIONS OF INDIANA, INC. ” Practice Location

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