FREEDOM MEDICAL BOONVILLE MEDICAL
NPI 1922071984
Durable Medical Equipment & Medical Supplies in Boonville,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 9, 2006

Contact Information

966 N Baker Rd
Boonville,
Post Code: 47601
Phone: (812) 897-1904
Fax: (812) 897-0620

Get Directions Be the first to review

Freedom Medical Boonville Medical in Boonville - Durable Medical Equipment & Medical Supplies

Freedom Medical Boonville Medical is a Durable Medical Equipment & Medical Supplies in Boonville, . Freedom Medical Boonville Medical practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Freedom Medical Boonville Medical is 1922071984. The last update date is 2020-08-22.

Freedom Medical Boonville Medical's current location address is 966 N Baker Rd, Boonville, . You can contact this provider via phone number (812) 897-1904 and fax number (812) 897-0620. The mailing address for Freedom Medical Boonville Medical is 966 N Baker Rd, Boonville, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1922071984
Provider Legal Name
R BACON ENTERPRISES INC
Other Organization Name
FREEDOM MEDICAL BOONVILLE MEDICAL
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
966 N Baker Rd, Boonville,
Location Phone
(812) 897-1904
Location Fax
(812) 897-0620
Mailing Address
966 N Baker Rd, Boonville, Indiana(IN)
Mailing Phone
812-897-1904
Mailing Fax
812-897-0620
Enumeration Date
2006-02-09
Last Update Date
2020-08-22
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
-
License No.
FDA1835621
License State
Indiana (IN)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000000097303 Other (non-Medicare) (01) () Anthem
000000107530 Other (non-Medicare) (01) () Anthem
000000193499 Other (non-Medicare) (01) () Anthem
000000193509 Other (non-Medicare) (01) () Anthem
000000335185 Other (non-Medicare) (01) () Anthem
000000335186 Other (non-Medicare) (01) () Anthem
047024300 Other (non-Medicare) (01) () US Dept of Labor
0742058 Other (non-Medicare) (01) () UMWA
100175310A MEDICAID (05) Indiana (IN)
100175310B MEDICAID (05) Indiana (IN)
100175310C MEDICAID (05) Indiana (IN)
1023713 Other (non-Medicare) (01) Indiana (IN) ACM
200312210A Other (non-Medicare) (01) () Medicaid MedWaiver
286867 Other (non-Medicare) (01) Indiana (IN) Harmony Health Plan
8200169 Other (non-Medicare) (01) () United Healthcare
90009473 MEDICAID (05) Kentucky (KY)

Reviews for FREEDOM MEDICAL BOONVILLE MEDICAL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922071984
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942072916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2942072916
2 + 9 + 4 + 2 + 0 + 7 + 2 + 9 + 1 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1922071984 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497758429 FORT WAYNE ORTHOPAEDICS LLC
Organization
Orthopaedic Surgery, Hand Surgery PO BOX 2526
FORT WAYNE, Indiana (IN)
260-436-8686
1487657417 DANIEL W CAREY
Individual
Social Worker, Clinical 850 N HARRISON ST
WARSAW, Indiana (IN)
574-267-7169
1013910041 DOMINICK DETOMMASO
Individual
Podiatrist, Foot & Ankle Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1437152469 STEVEN E FISHER
Individual
Orthopaedic Surgery 7601 W JEFFERSON BLVD
FORT WAYNE, Indiana (IN)
260-436-8686
1417950452 SATTI HOME HEALTH CARE PC
Organization
Home Health 9339 CALUMET AVE
MUNSTER, Indiana (IN)
219-836-8331