R BACON ENTERPRISES INC (NPI# 1073699567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073699567 |
| Entity Type | Organization |
| Organization Name | R BACON ENTERPRISES INC |
| Other Organization Name | FREEDOM MEDICAL |
| Practice Address |
1217 Washington Square Evansville IN 47715 |
| Mailing Address |
966 N Baker Road Boonville IN 47601 |
| Practice Telephone | 8124710351 |
| Practice Fax Number | 8124710379 |
| Mailing Telephone | 8128971904 |
| Mailing Fax Number | 8128970620 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KAREN A BACON (VICE PRESIDENT) |
| Authorized Official Telephone | 8128971904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | FDA#1835621 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000193499 | 01 | |
| UMWA | 0742058 | 01 | |
| ACM | 1023713 | 01 | |
| ANTHEM | 00000093509 | 01 | |
| HARMONY HEALTHPLAN | 286867 | 01 | |
| KY | 90009473 | 05 |
| Other Name | Type Code |
|---|---|
| Freedom Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144312133 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712 | 2006-09-28 |
| 1922071984 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 966 N Baker Rd, Boonville, IN 47601-9509 | 2006-02-09 |
| Street Address |
1217 WASHINGTON SQUARE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158198 | Jennmike Inc. | Durable Medical Equipment & Medical Supplies | 525 N Green River Rd, Evansville, IN 47715-2472 | 2020-06-16 |
| 1679006050 | Joerns LLC | Durable Medical Equipment & Medical Supplies | 6300 Maxwell Ave Ste A, Evansville, IN 47715-2386 | 2017-04-04 |
| 1922553627 | St. Mary's Health, Inc. | Durable Medical Equipment & Medical Supplies | 100 S Rosenberger Ave, Evansville, IN 47712-6591 | 2016-08-23 |
| 1730552282 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2500 N 1st Ave, Evansville, IN 47710-2950 | 2015-11-05 |
| 1801211602 | Deaconess Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 4482 N 1st Ave, Evansville, IN 47710-3622 | 2014-03-03 |
| 1346556388 | Hook-superx, L.L.C. | Durable Medical Equipment & Medical Supplies | 511 E. Boonville - New Harmony Rd, Evansville, IN 47725 | 2010-08-27 |
| 1558689000 | Advanced Device Solutions, LLC | Durable Medical Equipment & Medical Supplies | 4715 Washington Ave, Evansville, IN 47714-0898 | 2010-05-07 |
| 1023331568 | Hls Home Accessibility LLC | Durable Medical Equipment & Medical Supplies | 420 Nw 5th St, Suite 1a, Evansville, IN 47708-1314 | 2010-03-11 |
| 1730321597 | Jp Dme, Inc. | Durable Medical Equipment & Medical Supplies | 4630 Bayard Park Dr, Evansville, IN 47714-0600 | 2009-03-25 |
| 1114176393 | George Henry Madison Jr. | Durable Medical Equipment & Medical Supplies | 1033 E Walnut St Ste B, Evansville, IN 47714-1039 | 2008-09-12 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on R BACON ENTERPRISES INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.