MEDICARE: BIO-MEDICAL APPLICATIONS OF KANSAS, 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	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001428	OTHER	KS	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932257425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIO-MEDICAL APPLICATIONS OF KANSAS, INC.

Provider Business Mailing Address
First Line	:	702 CAROLINE AVE.
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-4158
Country	:	US
Telephone Number	:	785-238-3213
Fax Number	:	785-238-3215

Provider Business Practice Location Address
First Line	:	702 CAROLINE AVE.
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-4158
Country	:	US
Telephone Number	:	785-238-3213
Fax Number	:	785-238-3215

Authorized Official
Title or Position	:	TREASURER
Name	:	MARK FAWCETT
Credential	:
Telephone Number	:	781-699-9000

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	02/16/2015

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