MEDICARE: MONARCH MEDICAL EQUIPMENT, 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	2001007478	MO

General Provider Information

NPI Number	:	1790768737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONARCH MEDICAL EQUIPMENT, INC

Provider Business Mailing Address
First Line	:	1225 OLD CAPE RD
Second Line	:
City	:	JACKSON
State	:	MO
Zip	:	63755-2266
Country	:	US
Telephone Number	:	573-204-8112
Fax Number	:	573-204-8114

Provider Business Practice Location Address
First Line	:	1225 OLD CAPE RD
Second Line	:
City	:	JACKSON
State	:	MO
Zip	:	63755-2266
Country	:	US
Telephone Number	:	573-204-8112
Fax Number	:	573-204-8114

Authorized Official
Title or Position	:	OWNER
Name	:	KENNETT D ASHER III
Credential	:
Telephone Number	:	573-204-8112

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	08/22/2020

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