Provider Demographics
NPI:1275703050
Name:ARAGON MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:ARAGON MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ARAGON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-472-4733
Mailing Address - Street 1:453 E MAIN ST
Mailing Address - Street 2:PO BOX 153
Mailing Address - City:CENTRAL CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52214-7736
Mailing Address - Country:US
Mailing Address - Phone:319-438-9997
Mailing Address - Fax:319-438-6301
Practice Address - Street 1:200 W 4TH ST
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:IA
Practice Address - Zip Code:52349-1122
Practice Address - Country:US
Practice Address - Phone:319-472-3330
Practice Address - Fax:319-472-4733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0457192Medicaid
IA4902530001Medicare NSC