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

Active since February 09, 2006
966 N BAKER RD, BOONVILLE, IN 47601(812) 897-1904(812) 897-0620 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Freedom Medical Boonville Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREEDOM MEDICAL BOONVILLE MEDICAL (NPI 1922071984) is a healthcare organization registered as a durable medical equipment & medical supplies in Boonville, Indiana and active in the NPI registry since February 2006. The organization lists Karen A Bacon, Vice President, as its authorized official.

NPPES Registry Identity

NPI1922071984
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameR BACON ENTERPRISES INC
Location Address966 N BAKER RDBoonville, IN 47601-9509
Mailing Address966 N Baker RdBoonville, IN 47601-9509 · (812) 897-1904 · Fax (812) 897-0620
Phone(812) 897-1904
Fax(812) 897-0620
Organization SubpartNo
Authorized OfficialKaren A BaconVice President · (812) 897-1904
Enumeration DateFebruary 9, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922071984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in IN · FDA1835621
Definition
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.
966 N BAKER RD, Boonville, IN 47601
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Other Names 1

Doing Business AsFreedom Medical Boonville Medical

Other Identifiers 11

Other000000193499Anthem
Other0742058Umwa
Other1023713IN · Acm
Other286867IN · Harmony Health Plan
Other000000193509Anthem
Other000000335186Anthem
Other000000107530Anthem
Other8200169United Healthcare
Other000000097303Anthem
Other000000335185Anthem
Medicaid90009473KY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is R Bacon Enterprises Inc's NPI number?

The NPI number for R Bacon Enterprises Inc is 1922071984. It was assigned to this organization in the NPPES registry on February 9, 2006. The provider is doing business as Freedom Medical Boonville Medical.

Where is R Bacon Enterprises Inc located?

R Bacon Enterprises Inc is located at 966 N Baker Rd, Boonville, IN 47601. The listed phone number is (812) 897-1904.

What is R Bacon Enterprises Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for R Bacon Enterprises Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.