Medical Park Home Equipment LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

MEDICAL PARK HOME EQUIPMENT LLC

Practice address

4010 10TH St
Great Bend, KS 67530-3436

Phone

(620) 793-7828

NPI assigned

Aug 18, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. A Jeffrey Denton, RPH

Title

President

Phone

(620) 793-7828

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• B & K Prescription Shop Inc.

  • Community/Retail Pharmacy
  • Salina, KS
  • NPI 1861490013

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1881686566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 10TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303436",
            "telephone_number": "620-793-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 10TH ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675303436",
            "telephone_number": "620-793-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL PARK HOME EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-793-7828",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100441390A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia McKinley
• Christine Anna McLain, LPC
• Meals on Wheels of Barton County
• Med-Trans Corporation
• Med-Trans Corporation
• Medical Park Pharmacy of Great Bend PA
• Medicalodges, Inc.
• Medicalodges, Inc.
• Angela D Meitner, COTA
• Shannon Michael Merhoff

• All providers in Great Bend, KS
• Oxygen Equipment & Supplies (DME) in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.