MEDICARE: MEDICAL PARK HOME 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
1	332BX2000X	Oxygen Equipment & Supplies (DME)

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

General Provider Information

NPI Number	:	1881686566
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL PARK HOME EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	4010 10TH ST
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-3436
Country	:	US
Telephone Number	:	620-793-7828
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 10TH ST
Second Line	:
City	:	GREAT BEND
State	:	KS
Zip	:	67530-3436
Country	:	US
Telephone Number	:	620-793-7828
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. A JEFFREY DENTON
Credential	:	RPH
Telephone Number	:	620-793-7828

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	12/14/2010

Similar Medicare Providers

1760866289 — BRITTANY COOPER
Practice Location Address:

3436 BROADWAY AVE
NORTH BEND, OR
97459-1202

Practice Phone: 541-252-1316
Practice Fax:

1639005580 — LEAH KRAEMER
Practice Location Address:

1312 PATTON RD
GREAT BEND, KS
67530-3120

Practice Phone: 620-792-4087
Practice Fax:

1306079173 — WILBEA MEDICAL EQUIPMENT LLC
Practice Location Address:

4814 8TH ST
GREAT BEND, KS
67530-4665

Practice Phone: 620-793-7755
Practice Fax: 620-793-7755

1982120697 — LINDSAY KAY KLEPPER LPC
Practice Location Address:

5815 BROADWAY AVE
GREAT BEND, KS
67530-3123

Practice Phone: 620-792-2544
Practice Fax:

1093718744 — DR. ROSS ALAN HILDEBRAND D.D.S.
Practice Location Address:

3822 6TH ST
GREAT BEND, KS
67530-9733

Practice Phone: 620-792-1231
Practice Fax: 620-792-5146

1366445215 — MS. ALICE JOYCE GRIFFITT MSN, ARNP, BC, CNS
Practice Location Address:

5815 BROADWAY AVE
GREAT BEND, KS
67530-3123

Practice Phone: 620-792-2544
Practice Fax: 620-792-4323

Directions to “MEDICAL PARK HOME EQUIPMENT LLC ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.