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R Bacon Enterprises Inc
Durable Medical Equipment & Medical Supplies in Boonville, Indiana
NPI 1922071984

R Bacon Enterprises Inc is a Durable Medical Equipment & Medical Supplies based in Boonville, IN. R Bacon Enterprises Inc practices in Boonville, IN. The NPI Number for R Bacon Enterprises Inc is 1922071984 and holds a License No. FDA1835621 (Indiana).

The current practice location address for R Bacon Enterprises Inc is 966 N Baker Rd, Boonville, IN and can be reached out via phone at 812-897-1904 and via fax at 812-897-0620.

Location: 966 N Baker Rd, Boonville, IN, 47601-9509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922071984
Provider Name
R Bacon Enterprises Inc
Credential
Provider Entity Type
Organization
Address
966 N Baker Rd, Boonville, IN, 47601-9509
Phone Number
812-897-1904
Fax Number
812-897-0620
Provider Enumeration Date
02/09/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000193499 01 ANTHEM
000000335186 01 ANTHEM
286867 01 IN HARMONY HEALTH PLAN
000000107530 01 ANTHEM
8200169 01 UNITED HEALTHCARE
000000097303 01 ANTHEM
000000193509 01 ANTHEM
0742058 01 UMWA
1023713 01 IN ACM
000000335185 01 ANTHEM
90009473 05 KY
institution
Provider Business Practice Location Address Details
Address
966 N Baker Rd
City
Boonville
State
Indiana
Zip
47601-9509
Phone Number
812-897-1904
Fax Number
812-897-0620
person
Provider Business Mailing Address Details
Address
966 N Baker Rd
City
Boonville
State
Indiana
Zip
47601-9509
Phone Number
812-897-1904
Fax Number
812-897-0620
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
FDA1835621 (Indiana)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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