Provider Demographics
NPI:1326066259
Name:BASELINE MEDICAL EQUIPMENT AND SUPPLIES
Entity Type:Organization
Organization Name:BASELINE MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DAIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-395-2041
Mailing Address - Street 1:PO BOX 36
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66051-0036
Mailing Address - Country:US
Mailing Address - Phone:866-395-2041
Mailing Address - Fax:913-393-2061
Practice Address - Street 1:19000 W 158TH ST
Practice Address - Street 2:SUITE J
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-8011
Practice Address - Country:US
Practice Address - Phone:866-395-2041
Practice Address - Fax:913-393-2061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
118124OtherBCBS OF KS
118124OtherBCBS OF KS