R BACON ENTERPRISES INC (NPI# 1144312133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144312133 |
| Entity Type | Organization |
| Organization Name | R BACON ENTERPRISES INC |
| Other Organization Name | FREEDOM MEDICAL |
| Practice Address |
2309 W Franklin St Evansville IN 47712 |
| Mailing Address |
966 N Baker Road Boonville IN 47601-9509 |
| Practice Telephone | 8124219112 |
| Practice Fax Number | 8124219132 |
| Mailing Telephone | 8128971904 |
| Mailing Fax Number | 8128970620 |
| Enumeration Date | 2006-09-28 |
| 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 | FDA1835621 | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UMWA | 0742058 | 01 | |
| IN | 1001753100 | 05 | |
| ANTHEM | 000000335185 | 01 | |
| KY | 90009473 | 05 | |
| ANTHEM | 000000335186 | 01 | |
| HARMONY HEALTH PLAN | 286867 | 01 | |
| ACM | 1023713 | 01 |
| Other Name | Type Code |
|---|---|
| Freedom Medical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073699567 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 1217 Washington Square, Evansville, IN 47715 | 2006-10-27 |
| 1922071984 | R Bacon Enterprises Inc | Durable Medical Equipment & Medical Supplies | 966 N Baker Rd, Boonville, IN 47601-9509 | 2006-02-09 |
| Street Address |
2309 W FRANKLIN ST |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366830259 | Deaconess Hospital, Inc. | Durable Medical Equipment & Medical Supplies | 2309 W Franklin St, Evansville, IN 47712-5118 | 2014-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557840 | Deaconess Clinic, Inc. | Family Medicine | 2007 W Franklin St Ste B, Evansville, IN 47712 | 2018-05-02 |
| 1609363852 | Megan Ann Armstrong | Nurse Practitioner | 100 S Rosenberger Ave Ste B400, Evansville, IN 47712 | 2018-04-13 |
| 1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
| 1255755807 | Laura Walker | Social Worker | 2700 W. Indiana St, Evansville, IN 47712 | 2014-02-18 |
| 1437486594 | Kristin Jane Behme | Physical Therapist | 1501-1701 Mcdowell Rd, Evansville, IN 47712 | 2009-11-11 |
| 1528223054 | Anil Kumar Reddy Manda | Dentist | 5020 West Lloyd Expwy, Ste 200, Evansville, IN 47712 | 2008-07-24 |
| 1720285778 | Abby Dawn Clinard | Physical Therapy Assistant | Westpark Rehabilitation Center, 25 S Boehne Camp Road, Evansville, IN 47712 | 2007-07-02 |
| 1487855920 | Melissa A Singer | Nurse Practitioner | 1520 Weston Rd., Evansville, IN 47712 | 2007-05-31 |
| 1710091541 | Shannon R Jones | Psychiatry & Neurology | 1 North Barker Avenue, Evansville, IN 47712 | 2006-08-18 |
| 1114911682 | Christopher Allen Johnston | Specialist/Technologist | University of Southern Indiana, 8600 University Blvd, Evansville, IN 47712 | 2005-09-09 |
| Find all providers in zip 47712 | ||||
| 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 | 47712 |
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.