Organization Name: | GOLDEN MEDICAL, INC. |
NPI Number: | 1265435846 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN NONE BERNING (OWNER) |
Mailing Address: | 2600 Central Ave Ste F Dodge City |
State: | KS US |
Postal Code: | 678016211 |
Phone Number: | 6203388286 |
Fax Number: | 6203388287 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 11/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | NOT REQUIRED |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |